Organization Active NPI

Beaumont Feeding & Speech Solutions LLC

  • Speech-Language Pathologist
  • Cold Spring, MN
National Provider Identifier
1336609239
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
BEAUMONT FEEDING & SPEECH SOLUTIONS LLC
Practice address
402 Red River Ave N Ste 5
Cold Spring, MN 56320-1523
Phone
(320) 204-6181
Fax
(320) 584-2660
NPI assigned
Mar 25, 2019
Last updated
Nov 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Authorized official

Name
Connie Annette Beaumont, MA, CCC-SLPNPI 1871870485
Title
Speech-Language Pathologist
Phone
(320) 200-4473

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174N00000X
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

402 Red River Ave N Ste 5
Cold Spring, MN 56320-1523

Mailing address

8617 White Oak Rd
Saint Cloud, MN 56301-9477
Phone (320) 200-4473

Other practice location 1

2653 County Road 74
Saint Cloud, MN 56301-2205
Phone (320) 200-4473

National Provider Directory

National Provider Directory

Locations

402 Red River Ave N
Ste 5
Cold Spring, MN 56320
Phone (320) 200-4473

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636934400000",
    "number": "1336609239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8617 WHITE OAK RD",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563019477",
            "telephone_number": "320-200-4473",
            "fax_number": "320-584-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 RED RIVER AVE N STE 5",
            "city": "COLD SPRING",
            "state": "MN",
            "postal_code": "563201523",
            "telephone_number": "320-204-6181",
            "fax_number": "320-584-2660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2653 County Road 74",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "MN",
            "postal_code": "563012205",
            "country_code": "US",
            "telephone_number": "320-200-4473",
            "fax_number": "320-584-2660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BEAUMONT FEEDING & SPEECH SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-25",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "BEAUMONT",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "320-200-4473",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cold Spring, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.