HALEY BEAUDET (NPI# 1770174609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770174609 |
| Entity Type | Individual |
| Full Name | HALEY BEAUDET |
| Gender | Female |
| Credential | NP |
| Practice Address | 1704 W Manchester Ave Ste 109 Los Angeles CA 90047-3056 |
| Practice Telephone | 3237788485 |
| Mailing Address | 3311 W 3rd St Apt 328 Los Angeles CA 90020-1639 |
| Mailing Telephone | 5307399198 |
| Certification Date | 2020-12-15 |
| Enumeration Date | 2021-02-02 |
| Last Update Date | 2021-02-02 |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner Specialization: Family | 95016574 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address | 1704 W MANCHESTER AVE STE 109 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90047-3056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154790194 | Remigius Mgbojirikwe · Remy Mgbojirikwe | Pharmacist | 1704 W. Manchester Blvd Ste 100, Los Angeles, CA 90047-3056 | 2015-09-21 |
| 1417178526 | Karyn Marseille Arbet | Physician Assistant | 1704 W Manchester Ave Ste 101, Los Angeles, CA 90047-3056 | 2007-05-02 |
| 1457576282 | R.i.g.h.t. Program | Community/Behavioral Health | 1704 W Manchester Ave Ste 103, Los Angeles, CA 90047-3056 | 2007-04-16 |
| 1154546992 | Crossroads Skills Development Inc. | Community/Behavioral Health | 1704 W Manchester Ave Ste 105, Los Angeles, CA 90047-3056 | 2007-04-16 |
| 1811136948 | Leslie Hicks | Counselor · Addiction (Substance Use Disorder) | 1704 W Manchester Ave Ste 103, Los Angeles, CA 90047-3056 | 2009-02-12 |
| 1245409390 | Natasha Diana Stephens | Counselor · Addiction (Substance Use Disorder) | 1704 W Manchester Ave Ste 105, Los Angeles, CA 90047-3056 | 2008-02-22 |
| 1972781706 | Carlos Simon Usmany | Physician Assistant · Medical | 1704 W Manchester Ave Ste 101, Los Angeles, CA 90047-3056 | 2008-02-04 |
| 1255519369 | Renise Le Blanc | Counselor · Addiction (Substance Use Disorder) | 1704 W Manchester Ave Ste 103, Los Angeles, CA 90047-3056 | 2008-01-31 |
| 1346427085 | Carlos Holmes | Counselor · Addiction (Substance Use Disorder) | 1704 W Manchester Ave Ste 105, Los Angeles, CA 90047-3056 | 2008-01-24 |
| 1538343173 | Griselda Longs | Counselor · Addiction (Substance Use Disorder) | 1704 W Manchester Ave Ste 103, Los Angeles, CA 90047-3056 | 2007-12-18 |
| Find all providers in zip 90047-3056 | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588284749 | Cj C Dunnick | Rehabilitation Practitioner | 9124 S Wetern Ave, Los Angeles, CA 90047 | 2020-04-17 |
| 1063071652 | Cherae Nikia Stovall | Counselor · Professional | 1704 Manchester Boulevard, Suite 202, Los Angeles, CA 90047 | 2019-06-07 |
| 1598264053 | Dignity Health · Cali Bhvrl Hc-Vermont Corridor | Community/Behavioral Health | 1852 W Imperial Hwy, Los Angeles, CA 90047 | 2018-02-09 |
| 1750805222 | Brian George Martinez | Counselor · Mental Health | 1448 W 83rd St, Los Angeles, CA 90047 | 2017-07-27 |
| 1295266609 | Maria Amezcua | Rehabilitation Practitioner | 108 W Victoria Street, Gardena, CA 90047 | 2017-03-27 |
| 1265861140 | Ameika Porter | Counselor | 1529 West 82nd Street, Los Angeles, CA 90047 | 2013-11-01 |
| 1053747519 | Maria D Macias | Counselor | 11601 S. Western Avenue, Los Angeles, CA 90047 | 2013-09-16 |
| 1366704132 | Evelyn Carolina Hernandez | Family Medicine | 1555 West 110th Street, Los Angeles, CA 90047 | 2012-06-08 |
| 1003057142 | Sandra Patricia Trim | Licensed Vocational Nurse | 2048 W 69 St, Los Angeles, CA 90047 | 2009-03-19 |
| 1194962001 | Estuardo Ardon | Counselor | 11603 S. Western Ave., Los Angeles, CA 90047 | 2009-01-14 |
| Find all providers in zip 90047 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come… |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932790383 | Jamille Salarda | 401 S Hoover St Apt 113, Los Angeles, CA 90020-1211 | 2021-01-28 | |
| 1780270595 | Pamela Yasmeen Almario | 4603 Lexington Ave Apt 204, Los Angeles, CA 90029-1838 | 2020-12-16 | |
| 1891399820 | Omowunmi M Abioro | 1670 E. 120th Street Los Angeles California., Los Angeles, CA 90059 | 2020-11-30 | |
| 1689278087 | Jessica Hendricks | 8871 W 18th St Apt 7, Los Angeles, CA 90035-4351 | 2020-11-25 | |
| 1063015295 | Roxanne Masserat | 10921 Wilshire Blvd Ste 411, Los Angeles, CA 90024-4001 | 2020-11-19 | |
| 1528672110 | Christopher Tria Coronel | 3435 Garden Ave, Los Angeles, CA 90039-1919 | 2020-09-01 | |
| 1871119701 | Carina Lizette Guerra | St. John's Well Child and Family Center, Inc., 808 W. 58th Street, Los Angeles, CA 90037 | 2020-06-16 | |
| 1548884216 | En Route Medical Staffing LLC | 3705 W Pico Blvd Ste 1714, Los Angeles, CA 90019-3451 | 2020-05-29 | |
| 1922621432 | Latasha Tracy Warren | 1720 N Fuller Ave Apt 450, Los Angeles, CA 90046-3076 | 2020-05-19 | |
| 1578184966 | Shin Il Kim | 450 Bauchet St Fl 8, Los Angeles, CA 90012-2907 | 2020-04-27 | |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184095895 | Leo Beaudet | Home Health Aide | 38 Brook St, Sanford, ME 04073-2934 | 2015-10-08 |
| 1912484841 | Christopher Beaudet | Nurse Practitioner · Family | 17 Riverside St, Nashua, NH 03062-1304 | 2018-07-24 |
| 1730131400 | Beth A Beaudet | Nurse Practitioner · Family | 125 Main St, Oneonta, NY 13820-2531 | 2006-05-17 |
| 1801009055 | Linda J Beaudet | Nurse Practitioner · Family | 250 Pleasant St, Concord, NH 03301-7539 | 2007-05-07 |
| 1902952088 | Jacqueline Beaudet | Chiropractor | 217 W Sauthoff Rd, Madison, WI 53704-1146 | 2007-01-25 |
| 1295220275 | Caitlin Beaudet | Social Worker · Clinical | 10 Centennial Dr Ste 104, Peabody, MA 01960-2298 | 2018-06-22 |
| 1851996417 | Julianne Beaudet | Behavior Technician | 200 Highland Ave, Quincy, MA 02170-1424 | 2020-12-02 |
| 1336394584 | Deborah Beaudet | Registered Nurse · Emergency | 222 Tongass Dr, Sitka, AK 99835-9416 | 2008-12-01 |
| 1699269084 | Eric Beaudet | Dentist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2018-06-19 |
| 1861761405 | Joy Elizabeth Fox-Beaudet | Veterinarian | 2006 S Barney Rd, Anderson, CA 96007-9702 | 2011-12-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.