KENNISHA BEASLEY LPN NPI 1528921640

NPI Information

  • NPI: 1528921640
  • Provider Name: KENNISHA BEASLEY, LPN
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Individual
  • Address: 113 CENTRAL AVE
    HYDE PARK, MA
    ZIP 02136
  • Phone: (617) 407-8682

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NPI Details

Kennisha Beasley, LPN is a licensed practical nurse in Hyde Park, MA. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Kennisha Beasley, LPN NPI is 1528921640. 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:

113 CENTRAL AVE
HYDE PARK, MA
ZIP 02136-021
Phone: (617) 407-8682

The enumeration date for this NPI number is 12/5/2025 and was last updated on 12/5/2025.

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
1164W00000XLicensed Practical NurseLN92700MASSACHUSETTSYes

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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