Provider Demographics
NPI:1770610743
Name:BEARDSLEY, KARI ANN (NP)
Entity type:Individual
Prefix:
First Name:KARI
Middle Name:ANN
Last Name:BEARDSLEY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:100 KINGS HWY S
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14617-5504
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:408 N MAIN ST
Practice Address - Street 2:
Practice Address - City:WARSAW
Practice Address - State:NY
Practice Address - Zip Code:14569-1015
Practice Address - Country:US
Practice Address - Phone:585-786-8350
Practice Address - Fax:585-786-8362
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2025-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY420635363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02515231Medicaid
NY000560847002OtherBLUECROSS AND BLUESHIELD
NY9512438OtherIHA