NPI 1689959538 · live from the CMS NPI Registry
Beacon Pediatrics LLC
Pediatrics in Rehoboth Beach, DE. National Provider Identifier 1689959538, active.
NPI record
| NPI | 1689959538 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics 208000000X |
| Practice location | 18947 John J Williams Hwy, Suite 212, Rehoboth Beach, DE 19971 |
| Practice phone | 302-645-8212 |
| Enumerated | October 11, 2011 |
| Last updated | May 9, 2025 |
| Authorized official | Nancy Gideon, MD/Practice Owner |
| Other names | Beacon Wellness |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics | 363LP0200X | — |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — |
| Pediatrics primary | 208000000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.