Active NPI
Christie Renee Beddow, MS, CCC-SLP
- Speech-Language Pathologist
- Antioch, TN
National Provider Identifier
1306249032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5228
- Practice address
- 100 Brian Cir
Antioch, TN 37013-4340 - Phone
- (615) 751-7284
- Fax
- (615) 301-6196
- NPI assigned
- Oct 8, 2014
- Last updated
- Nov 12, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 5228 | TN | Primary |
Addresses
Primary practice location
100 Brian Cir
Antioch, TN 37013-4340
Mailing address
100 Brian Cir
Antioch, TN 37013-4340
Phone (615) 751-7284
Other names 1
- Christie Renee Shockley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5228 | TN | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Accessible Behavior, LLC | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447286400000",
"number": "1306249032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 BRIAN CIR",
"city": "ANTIOCH",
"state": "TN",
"postal_code": "370134340",
"telephone_number": "615-751-7284",
"fax_number": "615-301-6196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 BRIAN CIR",
"city": "ANTIOCH",
"state": "TN",
"postal_code": "370134340",
"telephone_number": "615-751-7284",
"fax_number": "615-301-6196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEDDOW",
"first_name": "CHRISTIE",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "MS, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-08",
"last_updated": "2015-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "5228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTIE",
"last_name": "SHOCKLEY",
"middle_name": "RENEE",
"credential": "MS, CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Antioch, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.