Beulah Brawner Shaw, CCCSLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6702 Issued in NC

Practice address

728 Klumac Rd
Apt 125B
Salisbury, NC 28144-5720

Phone

(704) 636-5086

Fax

(704) 636-7286

NPI assigned

Sep 19, 2012

Last updated

Sep 19, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1033469820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 KLUMAC RD",
            "address_2": "APT 125B",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281445720",
            "telephone_number": "704-636-5086",
            "fax_number": "704-636-7286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 KLUMAC RD",
            "address_2": "APT 125B",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281445720",
            "telephone_number": "704-636-5086",
            "fax_number": "704-636-7286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "BEULAH",
        "middle_name": "BRAWNER",
        "name_prefix": "Mrs.",
        "credential": "CCCSLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "6702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pooja Sunil Shah, MD
• Kazi Shamima Afrin, MD
• Samantha Sharpe, PHARMD
• Kartik Shatagopam, M.D.
• Destiny Inman Shaver, DPT
• Zachary Robert Sheckley, PA-C
• Brittany Lynn Shehan
• Leanne B Sheik
• Kimberly Anderson Shell, BSN, RN
• Douglas B Shellhorn, M.D.

• Speech-Language Pathologist in Salisbury, NC
• Providers in Salisbury, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.