IndividualActive
Glenn Beauchamp
NPI 1124534219 · Registered Nurse · Staten Island, NY
Glenn Beauchamp is a Registered Nurse provider in Staten Island, NY (NPI 1124534219).
Provider details
- NPI number
- 1124534219
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 604168-1 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
245 Mill Rd Apt 3a
Staten Island, NY 10306-4747
Phone: (718) 979-6900
Fax: (718) 979-6940
Street-level locationGet directions
Mailing address
245 Mill Rd Apt 3a
Staten Island, NY 10306-4747
Registry dates
- Enumerated
- 2017-12-27
- Last updated
- 2017-12-27
Frequently asked questions
- What is Glenn Beauchamp's NPI number?
- Glenn Beauchamp's National Provider Identifier (NPI) is 1124534219, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Glenn Beauchamp's specialty?
- Glenn Beauchamp is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).
- Where is Glenn Beauchamp located?
- Glenn Beauchamp's practice location on file with NPPES is 245 Mill Rd Apt 3a, Staten Island, NY 10306-4747.
- What is Glenn Beauchamp's phone number?
- The practice phone number listed in the NPPES registry for Glenn Beauchamp is (718) 979-6900.
- Is Glenn Beauchamp's NPI active?
- Yes — Glenn Beauchamp's NPI (1124534219) is active in the NPPES registry as of the last update on 2017-12-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.