IndividualActive
Beth Bourquin, CNP
NPI 1144732579 · Pediatric Nurse Practitioner · Dayton, OH
Provider details
- NPI number
- 1144732579
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 021714 (OH)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(78/100 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
11 documented practice locations
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
1 Childrens Plz
Dayton, OH 45404-1873
Phone: (937) 641-5444
Street-level locationGet directions
Mailing address
Po Box 933432
Cleveland, OH 44193-0039
Additional practice locations (10)
- 3301 Dayton Xenia Rd Ste 200Beavercreek, OH 45432-2759Phone: (937) 641-5098Fax: (937) 912-9395
- 6044 Wilmington PikeCenterville, OH 45459-7006Phone: (937) 641-3270Fax: (937) 641-6108
- 860 Valley St.Dayton, OH 45404Phone: (937) 641-3060Fax: (937) 641-3285
- 1711 Germantown PikeDayton, OH 45417Phone: (937) 641-3142Fax: (937) 641-4172
- 8501 Old Troy PikeHuber Heights, OH 45424-1054Phone: (937) 641-4360Fax: (937) 641-3791
- 4475 Far Hills AveKettering, OH 45429-2405Phone: (937) 641-3141Fax: (937) 641-3190
- 3333 W Tech RdMiamisburg, OH 45342-0955Phone: (937) 641-5725Fax: (937) 350-3050
- 662 N Main StSpringboro, OH 45066-9553Phone: (937) 641-5066
Registry dates
- Enumerated
- 2017-10-25
- Last updated
- 2026-05-28
- Certified
- 2026-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.