Active NPIIndividual provider

Samantha Beaudoin, NP

Nurse Practitioner, Family in East Longmeadow, Massachusetts

NPI Number1720648561
Practice location
250 N Main St, Ste 101, East Longmeadow, MA 01028-1834
Fax
—
Last updated
April 9, 2025

Samantha Beaudoin is a Nurse Practitioner, Family based in East Longmeadow, MA. Samantha Beaudoin practices in East Longmeadow, MA and has the professional credentials of NP. The NPI Number for Samantha Beaudoin is 1720648561 and holds a License No. RN2309104 (MA). The current practice location address for Samantha Beaudoin is 250 N Main St, Ste 101, East Longmeadow, MA 01028-1834 and can be reached out via phone at 413-525-1870.

Provider Profile Details

NPI Number
1720648561
Provider Name
Samantha Beaudoin
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
250 N Main St, Ste 101, East Longmeadow, MA 01028-1834
Phone Number
413-525-1870
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
June 14, 2019
Last Update Date
April 9, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
250 N Main St
Ste 101
East Longmeadow, MA 01028-1834
Zip
01028-1834
Phone Number
413-525-1870
East Longmeadow, MA 01028Get directions →

Provider Business Mailing Address Details

Address
42 Briere Dr
Chicopee, MA 01020-1138
City
Chicopee
State
MA
Zip
01020-1138
Phone Number
413-530-1254

License Information

License Number
RN2309104
License State
MA
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Samantha Beaudoin, NP?

The NPI number of Samantha Beaudoin, NP is 1720648561. It was assigned on June 14, 2019 and is currently active in the NPPES registry.

What is the specialty of Samantha Beaudoin, NP?

Samantha Beaudoin, NP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number RN2309104.

Where does Samantha Beaudoin, NP practice?

The practice location is 250 N Main St, Ste 101, East Longmeadow, MA 01028-1834. The office can be reached at 413-525-1870 (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 1720648561 directly on the NPPES registry website.

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