Provider Demographics
NPI:1306903646
Name:BEAUCHAINE, KATHRYN LAUDIN (MA)
Entity type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:LAUDIN
Last Name:BEAUCHAINE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:KATHRYN
Other - Middle Name:ANN
Other - Last Name:BEAUCHAINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:555 N 30TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68131-2136
Mailing Address - Country:US
Mailing Address - Phone:402-280-8100
Mailing Address - Fax:402-280-8103
Practice Address - Street 1:555 N 30TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68131-2136
Practice Address - Country:US
Practice Address - Phone:402-498-6540
Practice Address - Fax:402-498-6357
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2010-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE48231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1585729Medicaid
NE36838OtherBCBS BT
IA6585729Medicaid
IA0585729Medicaid
IA2585729Medicaid
IA2585737Medicaid
IA4585729Medicaid
IA9585729Medicaid
IA0585737Medicaid
IA1585737Medicaid
NE36839OtherBCBS ENT
IA5585729Medicaid
IA7585729Medicaid
IA8585729Medicaid
NE36838OtherBCBS BT
IA1585729Medicaid
IA0585729Medicaid