SANDRA BEAUDOUIN NP NPI 1023667243

NPI Information

  • NPI: 1023667243
  • Provider Name: SANDRA BEAUDOUIN, NP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5 MEADOW LN
    FREEPORT, NY
    ZIP 11520
  • Phone: (516) 974-6057

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NPI Details

Sandra Beaudouin, NP is a psychiatric/mental health nurse practitioner in Freeport, NY with 22 years of experience. Sandra Beaudouin, NP NPI is 1023667243. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5 MEADOW LN
FREEPORT, NY
ZIP 11520-002
Phone: (516) 974-6057

The NPI 1023667243 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/10/2019 and was last updated on 3/19/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyF341902-01NEW YORKNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthF405339-01NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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