Jennifer Beard, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

03710 Issued in MD

Practice address

1 Olympic PL
Suite 200
Towson, MD 21204-4104

Phone

(410) 704-7300

Fax

(410) 704-6303

NPI assigned

Apr 20, 2016

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 names 1

• Jennifer Ciovacco Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461110400000",
    "number": "1124472790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 YORK RD",
            "address_2": "TOWSON UNIVERSITY, IWB",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212520001",
            "telephone_number": "410-704-7300",
            "fax_number": "410-704-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 OLYMPIC PL",
            "address_2": "SUITE 200",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212044104",
            "telephone_number": "410-704-7300",
            "fax_number": "410-704-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARD",
        "first_name": "JENNIFER",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-20",
        "last_updated": "2016-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "03710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "CIOVACCO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shavonne Clarice Beachum
• Donna M Beagle, CRNP
• Eileen Beale, NP
• Stephanie Beall, M.D., PH.D.
• Beaming Kids MD LLC
• Lisa Kay Beard, M.A., BCBA
• Eric J Beauvois, MD
• Lisa Bechtel, P.A.
• Natalie Beck
• Denise M Beckett, PHD PA

• All providers in Towson, MD
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.