Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kathryn S Beaudoin, CRNP

Individual provider Acute Care Nurse Practitioner · NPI 1639616634

Kathryn S Beaudoin, CRNP is a Nurse Practitioner in Washington, District of Columbia. Qualified in 2016, 10 years ago. Practices with Medstar Medical Group II LLC, a 3,717-clinician group and accepts Medicare assignment. Licensed in District of Columbia.

Years since qualifying
10
Licensed in
DC
In the registry since
2017
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

110 Irving St NW
Washington, DC 20010-3017
Phone: (844) 333-3627
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 1043316 (DC)

Record details

NPI number1639616634
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedJanuary 27, 2017
Last updated in NPPESAugust 10, 2020
Certification dateAugust 10, 2020
Mailing address110 Irving St Nw, Washington, DC 20010-3017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Medstar Medical Group Ii Llc — 3717 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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