Rose Beaujour, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12124611 Issued in CT

Practice address

25 Pine Cone Dr
Palm Coast, FL 32164-8423

Phone

(800) 796-0923

Fax

(800) 796-0926

NPI assigned

Sep 4, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409788800000",
    "number": "1013318484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 352530",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321352530",
            "telephone_number": "800-796-0923",
            "fax_number": "800-796-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 PINE CONE DR",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321648423",
            "telephone_number": "800-796-0923",
            "fax_number": "800-796-0926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUJOUR",
        "first_name": "ROSE",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-04",
        "last_updated": "2014-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "12124611",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "004149",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellie Kilpatrick Battillo, FNP-C, ARNP
• Cynthia Michelle Baxter, PMHNP
• Sara Bearden
• Allison Beasley, AGACNP-BC
• Scott R Beat, A.P.
• Lori Lou Beckwith, ED.D
• Behavior Gurus, LLC
• Thomas Belanger
• Lily Bellicini
• Grace Ann Pinili Benet

• Speech-Language Pathologist in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.