NPIMap

Organization Active NPI

Beautiful Beginnings: a Speech and Language Program, LLC

  • Speech-Language Pathologist
  • Durham, NC
National Provider Identifier
1134412380
Registry record updated Jul 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7785 Issued in NC
Legal business name
BEAUTIFUL BEGINNINGS: A SPEECH AND LANGUAGE PROGRAM, LLC
Practice address
1507 Bramble Dr
Durham, NC 27712-1209
Phone
(919) 358-2520
Fax
(919) 479-7300
NPI assigned
May 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2011

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

Authorized official

Name
Tracy Gilliom, M.ED.,CCC-SLP
Title
Speech Language Pathologist/Owner
Phone
(919) 358-2520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 7785 NC Primary

Addresses

Primary practice location

1507 Bramble Dr
Durham, NC 27712-1209

Mailing address

1507 Bramble Dr
Durham, NC 27712-1209
Phone (919) 358-2520

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1305849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309996800000",
    "number": "1134412380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 BRAMBLE DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277121209",
            "telephone_number": "919-358-2520",
            "fax_number": "919-479-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 BRAMBLE DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277121209",
            "telephone_number": "919-358-2520",
            "fax_number": "919-479-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTIFUL BEGINNINGS: A SPEECH AND LANGUAGE PROGRAM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-20",
        "last_updated": "2011-07-07",
        "status": "A",
        "authorized_official_last_name": "GILLIOM",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "919-358-2520",
        "authorized_official_credential": "M.ED.,CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "7785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; 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.