Kennisha Beasley, LPN
Licensed Practical Nurse in Hyde Park, Massachusetts
1528921640- Practice location
- 113 Central Ave, Hyde Park, MA 02136-3021
- Phone
- 617-407-8682
- Fax
- —
- Last updated
- December 5, 2025
Kennisha Beasley is a Licensed Practical Nurse based in Hyde Park, MA. Kennisha Beasley practices in Hyde Park, MA and has the professional credentials of LPN. The NPI Number for Kennisha Beasley is 1528921640 and holds a License No. LN92700 (MA). The current practice location address for Kennisha Beasley is 113 Central Ave, Hyde Park, MA 02136-3021 and can be reached out via phone at 617-407-8682.
Provider Profile Details
- NPI Number
- 1528921640
- Provider Name
- Kennisha Beasley
- Credential
- LPN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 113 Central Ave, Hyde Park, MA 02136-3021
- Phone Number
- 617-407-8682
- Primary Taxonomy
- Licensed Practical Nurse · 164W00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 5, 2025
- Last Update Date
- December 5, 2025
- Certification Date
- December 5, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 113 Central Ave
Hyde Park, MA 02136-3021 - City
- Hyde Park
- State
- Massachusetts
- Zip
- 02136-3021
- Phone Number
- 617-407-8682
Provider Business Mailing Address Details
- Address
- 113 Central Ave
Hyde Park, MA 02136-3021 - City
- Hyde Park
- State
- MA
- Zip
- 02136-3021
License Information
- License Number
- LN92700
- License State
- MA
- Taxonomy
- Licensed Practical Nurse · 164W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kennisha Beasley, LPN?
The NPI number of Kennisha Beasley, LPN is 1528921640. It was assigned on December 5, 2025 and is currently active in the NPPES registry.
What is the specialty of Kennisha Beasley, LPN?
Kennisha Beasley, LPN is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in MA under license number LN92700.
Where does Kennisha Beasley, LPN practice?
The practice location is 113 Central Ave, Hyde Park, MA 02136-3021. The office can be reached at 617-407-8682 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1528921640 directly on the NPPES registry website.