Individual provider Active NPI

Katherine Margaret Beach, M.A. CF-SLP

  • Speech-Language Pathologist
  • Portland, ME
National Provider Identifier
1063995108
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
ST2778 Issued in ME
Practice address
222 Auburn St Ste 1G
Portland, ME 04103-6012
Phone
(207) 797-8255
NPI assigned
Sep 14, 2018
Last updated
Sep 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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 ST2778 ME Primary

Addresses

Primary practice location

222 Auburn St Ste 1G
Portland, ME 04103-6012

Mailing address

149 Front St
Bath, ME 04530-2672
Phone (207) 443-3341

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190402000687 ME Practitioner - Qualified Speech Language Pathologist 2668713645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pine Tree Society IncGroup PAC ID 8729028998, 6 clinicians

Practice addresses (Care Compare)

149 Bath St
Bath, ME 04530-2672
Phone (207) 443-3341

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
ST2778MEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Tree Society Inc CurrentSince Sep 2, 2019 Accepting new patients

Locations

149 Front St
Bath, ME 04530
Phone (207) 443-3341

71 US Route 1
Ste B
Scarborough, ME 04074
Phone (207) 443-3341

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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": "1536883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1063995108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 FRONT ST",
            "city": "BATH",
            "state": "ME",
            "postal_code": "045302672",
            "telephone_number": "207-443-3341",
            "fax_number": "866-323-6389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 AUBURN ST STE 1G",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041036012",
            "telephone_number": "207-797-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEACH",
        "first_name": "KATHERINE",
        "middle_name": "MARGARET",
        "credential": "M.A. CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-14",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "ST2778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.