Provider Demographics
NPI:1326215930
Name:BEAMES, KATHERINE LYNNE
Entity type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:LYNNE
Last Name:BEAMES
Suffix:
Gender:
Credentials:
Other - Prefix:MRS
Other - First Name:KATHERINE
Other - Middle Name:LYNNE
Other - Last Name:WEBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:38 PEARL ST
Mailing Address - Street 2:
Mailing Address - City:BAINBRIDGE
Mailing Address - State:NY
Mailing Address - Zip Code:13733-1030
Mailing Address - Country:US
Mailing Address - Phone:607-386-8878
Mailing Address - Fax:
Practice Address - Street 1:38 PEARL ST
Practice Address - Street 2:
Practice Address - City:BAINBRIDGE
Practice Address - State:NY
Practice Address - Zip Code:13733-1030
Practice Address - Country:US
Practice Address - Phone:607-386-8878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-13
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2443021164W00000X
NY244302-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty