Active NPI
Yolonda Tia Beatty, SLPD
- Speech-Language Pathologist
- Concord, NC
National Provider Identifier
1346659497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 10940
- Practice address
- 1025 Jeffrey CT SW
Concord, NC 28025-0075 - Phone
- (919) 539-4807
- NPI assigned
- Aug 2, 2014
- Sex
- Female
- Sole proprietor
- No
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 | 10940 | NC | Primary |
Addresses
Primary practice location
1025 Jeffrey CT SW
Concord, NC 28025-0075
Mailing address
1025 Jeffrey CT SW
Concord, NC 28025-0075
Other names 1
- Yolonda Tia Hodges
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10940 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speech Inspirations PLLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
4909 Waters Edge Dr
Ste 100
Raleigh, NC 27606
Phone (919) 285-1647
4909 Waters Edge Dr
Ste 100C
Raleigh, NC 27606
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 and National Provider Directory roles.
-
- Speech-Language Pathologist
- Raleigh, NC
- NPI 1205466323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724284800000",
"number": "1346659497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 JEFFREY CT SW",
"city": "CONCORD",
"state": "NC",
"postal_code": "280250075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 JEFFREY CT SW",
"city": "CONCORD",
"state": "NC",
"postal_code": "280250075",
"telephone_number": "919-539-4807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEATTY",
"first_name": "YOLONDA",
"middle_name": "TIA",
"name_prefix": "Dr.",
"credential": "SLPD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-02",
"last_updated": "2024-08-22",
"certification_date": "2024-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "10940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "YOLONDA",
"last_name": "HODGES",
"middle_name": "TIA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.