NPI 1629930201 · live from the CMS NPI Registry
Kendra Beaty
Registered Nurse, General Practice in Woodbine, MD. National Provider Identifier 1629930201, active.
NPI record
| NPI | 1629930201 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, General Practice 163WG0000X |
| Practice location | 7392 Woodbine Rd, Woodbine, MD 21797 |
| Practice phone | 240-405-5036 |
| Enumerated | December 2, 2025 |
| Last updated | December 2, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, General Practice primary | 163WG0000X | R180944 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.