Individual provider Active NPI

Lauren Beaird, M. ED, CCC-SLP

  • Speech-Language Pathologist
  • Rome, GA
National Provider Identifier
1023664455
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP010758 Issued in GA
Practice address
212 W 3Rd St SW
Rome, GA 30165-2802
Phone
(706) 295-4242
Fax
(706) 295-4260
NPI assigned
Aug 12, 2019
Last updated
Oct 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP010758 GA Primary

Addresses

Primary practice location

212 W 3Rd St SW
Rome, GA 30165-2802

Mailing address

365 S Industrial Blvd
Calhoun, GA 30701-3075
Phone (706) 624-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
SLP010758GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Rehabilitation for Kids of Gordon County, Inc PastSince Aug 18, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1023664455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 S INDUSTRIAL BLVD",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307013075",
            "telephone_number": "706-624-3000",
            "fax_number": "706-624-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W 3RD ST SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301652802",
            "telephone_number": "706-295-4242",
            "fax_number": "706-295-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAIRD",
        "first_name": "LAUREN",
        "credential": "M. ED, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-12",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP010758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.