Individual provider Active NPI

Nancy Beasley

  • Speech-Language Pathologist
  • Severna Park, MD
National Provider Identifier
1033565817
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
08102 Issued in MD
Practice address
645 Baltimore Annapolis Blvd
Ste 111
Severna Park, MD 21146-3931
Phone
(410) 544-2500
NPI assigned
May 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2016

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 08102 MD Primary

Addresses

Primary practice location

645 Baltimore Annapolis Blvd
Ste 111
Severna Park, MD 21146-3931

Mailing address

645 Baltimore Annapolis Blvd
Ste 111
Severna Park, MD 21146-3931
Phone (410) 544-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251222001708 CA Practitioner - Qualified Speech Language Pathologist 9335430529 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6320 Canoga Ave
FL 15
Woodland Hills, CA 91367-2593

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Slptele LLC Speech-Language Pathologist CurrentSince Oct 10, 2025 Accepting new patients
All Care Physical Therapy, P.C. Speech-Language Pathologist CurrentSince Oct 10, 2025 Accepting new patients
Seersoft Past Accepting new patients

Locations

1101 Marina Village Pkwy
Ste 201
Alameda, CA 94501
Phone (510) 493-3438

4900 California Ave
Fl 2
Bakersfield, CA 93309
Phone (510) 722-5630

333 H St
Ste 5000
Chula Vista, CA 91910
Phone (619) 349-5410

516 W Shaw Ave
Ste 200
Fresno, CA 93704
Phone (559) 221-2584

530 Technology Dr
Ste 100
Irvine, CA 92618
Phone (213) 375-4070

6420 Wilshire Blvd
Ste 600
Los Angeles, CA 90048
Phone 81889422731025

5450 W Pico Blvd
Ste 202
Los Angeles, CA 90019
Phone (214) 893-2790

931 10th St
Modesto, CA 95354
Phone (209) 661-5576

1100 W Town and Country Rd
Ste 1250
Orange, CA 92868
Phone (657) 339-2799

9431 Haven Ave
Ste 100
Rch Cucamonga, CA 91730
Phone (909) 480-1735

11801 Pierce St
Ste 200
Riverside, CA 92505
Phone (323) 547-2662

333 University Ave
Ste 200
Sacramento, CA 95825
Phone (707) 864-6860

9655 Granite Ridge Dr
Ste 200
San Diego, CA 92123
Phone (775) 338-0773

8929 Aero Dr
Ste E
San Diego, CA 92123
Phone (858) 277-2277

3031 Tisch Way
Ste 110
San Jose, CA 95128
Phone (669) 200-4619

3031 Tisch Way
Ste 110PW
San Jose, CA 95128

951 Mariners Island Blvd
Ste 300
San Mateo, CA 94404
Phone (551) 227-3669

25350 Magic Mountain Pkwy
Ste 300
Valencia, CA 91355
Phone (661) 247-9568

1500 Palma Dr
Fl 2
Ventura, CA 93003
Phone (805) 284-1783

6320 Canoga Ave
Fl 15
Woodland Hls, CA 91367
Phone (818) 588-4003

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1033565817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 BALTIMORE ANNAPOLIS BLVD",
            "address_2": "STE 111",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463931",
            "telephone_number": "410-544-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 BALTIMORE ANNAPOLIS BLVD",
            "address_2": "STE 111",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463931",
            "telephone_number": "410-544-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEASLEY",
        "first_name": "NANCY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-10",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "08102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Severna Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.