Sharon Kim Beazley, M.S.CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4841 Issued in LA

Practice address

1015 Breaux Bridge Sr High Rd
Breaux Bridge, LA 70517-8311

Phone

(337) 332-3131

NPI assigned

Jun 14, 2021

Last updated

Jun 14, 2021By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1225606429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 DUP ST",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705173215",
            "telephone_number": "337-680-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 BREAUX BRIDGE SR HIGH RD",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705178311",
            "telephone_number": "337-332-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAZLEY",
        "first_name": "SHARON",
        "middle_name": "KIM",
        "credential": "M.S.CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "4841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candice Elizabeth Baker
• Kiranmai Bandaru, M.D.
• Nia Kenya Banks
• Baymark Health Services of Louisiana, Inc. (BAART Programs Breaux Bridge)
• Cirstie Beaubouef, LPC
• Lottie Beebe
• Ashley Robert Begnaud, NP
• Christina Benoit
• Corey M. Bergeron, D.D.S.
• Katherine Richardson Bergeron, RPH

• Speech-Language Pathologist in Breaux Bridge, LA
• Providers in Breaux Bridge, LA by specialty
• Speech-Language Pathologist in Louisiana

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