Shequila D Beamer, MS - SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP010735 Issued in GA

Practice address

7440 Highway 92
Woodstock, GA 30189-5235

Phone

(770) 212-2170

Fax

(770) 783-8639

NPI assigned

Apr 14, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Moon River, LLC

  • Behavior Analyst
  • Marietta, GA
  • NPI 1730143553

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1093395824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7440 HIGHWAY 92",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895235",
            "telephone_number": "770-212-2170",
            "fax_number": "770-783-8639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7440 HIGHWAY 92",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895235",
            "telephone_number": "770-212-2170",
            "fax_number": "770-783-8639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAMER",
        "first_name": "SHEQUILA",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "MS - SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP010735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alanna Baughn
• Kellie Cherie Baxter, D.C.
• Madison Bazemore
• Lorrie Jane Bazzell
• Be Vulnerable, Inc (The Posture Project)
• Sabrina Isabel Becerra-Machado, PT, DPT
• Sara Jeanette Becker, RBT
• Ariana Christa Beckett, NP
• Chelsey Beckham, M.S., ATC, LAT
• Mary N. Bedingfield, MSN,NP-C

• Speech-Language Pathologist in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.