Christianna Beachley, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

07834 Issued in MD

Practice address

11614 Seven Locks Rd
Rockville, MD 20854-3261

Phone

(301) 469-0223

NPI assigned

Jul 2, 2015

Last updated

Jun 6, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ivymount Outreach Programs, Inc

  • Community/Behavioral Health Agency
  • Rockville, MD
  • NPI 1881960912
  NPD (past)
• The Ivymount School, Inc

  • Developmentally Disabled Services Day Training Agency
  • Rockville, MD
  • NPI 1922485614
  NPD (past)

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1083097489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11614 SEVEN LOCKS RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208543261",
            "telephone_number": "301-469-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11614 SEVEN LOCKS RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208543261",
            "telephone_number": "301-469-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEACHLEY",
        "first_name": "CHRISTIANNA",
        "name_prefix": "Miss",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-02",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "07834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH AND MENTAL HYGIENE",
            "identifier": "07834",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH-LANGAUGE-HEARING ASSOCIATION",
            "identifier": "14111042",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS",
            "identifier": "2202008207",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Baylark
• Katrina Baymack
• Heba Bayoumi
• Kimberly Bazemore
• Kollie Bazzie
• Savannah Beadenkopf
• Edward W Beal, MD
• Alexander Beale
• Beall Care Services Inc
• Ashley Beall, MD

• Speech-Language Pathologist in Rockville, MD
• Providers in Rockville, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.