MEDICARE: BEAUNITY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula

General Provider Information

NPI Number	:	1629926464
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEAUNITY

Provider Business Mailing Address
First Line	:	1922 MOOSUP CT
Second Line	:
City	:	FAIRFIELD
State	:	CA
Zip	:	94533-6648
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1922 MOOSUP CT
Second Line	:
City	:	FAIRFIELD
State	:	CA
Zip	:	94533-6648
Country	:	US
Telephone Number	:	707-971-5024
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BONITA KNUCKLES
Credential	:	RN
Telephone Number	:	707-971-5024

Provider Enumeration Date	:	03/18/2026
Last Update Date	:	03/18/2026

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Directions to “BEAUNITY ” Practice Location

Language	Start Address	Practice Location

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