CARLY BEAULIEU
NPI 1063821551
Student in an Organized Health Care Education/Training Program in Auburn, WA
About Carly Beaulieu NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLY BEAULIEU (NPI 1063821551) is an individual student in an organized health care education/training program in Auburn, Washington and active in the NPI registry since August 2014. She has opted out of Medicare through May 16, 2028.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Carly Beaulieu has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 16, 2024 through May 16, 2028.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
AUBURN, WA 98002
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Carly Beaulieu's NPI number?
The NPI number for Carly Beaulieu is 1063821551. It was assigned to this individual provider in the NPPES registry on August 8, 2014.
Where is Carly Beaulieu located?
Carly Beaulieu practices at 4238 Auburn Way N, Auburn, WA 98002. The listed phone number is (253) 876-7600.
What is Carly Beaulieu's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Carly Beaulieu enrolled in Medicare?
No. Carly Beaulieu has opted out of Medicare through May 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Carly Beaulieu was last updated on August 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Carly Beaulieu · NPI 1063821551
Student in an Organized Health Care Education/Training Program provider in Auburn, Washington. Individual provider, active in the CMS NPPES registry since August 8, 2014.
## Identity
- **NPI:** 1063821551 (Entity type: Individual)
- **Enumerated:** August 8, 2014
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 4238 AUBURN WAY N, Auburn, WA 98002
- **Phone:** (253) 876-7600 · **Fax:** (253) 876-7610
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through May 16, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** August 27, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1063821551) · Data from the CMS NPPES public registry.