Active NPI
Vanessa Beauchamp
- Developmental Therapist
- Boca Raton, FL
National Provider Identifier
1346775301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- License
- B251862929450
- Practice address
- 4800 N Federal Hwy
Suite 101D
Boca Raton, FL 33431-5188 - Phone
- (617) 470-9827
- NPI assigned
- Apr 27, 2017
- 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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | B251862929450 | FL | Primary |
Addresses
Primary practice location
4800 N Federal Hwy
Suite 101D
Boca Raton, FL 33431-5188
Mailing address
234 SW 10TH Ave
Delray Beach, FL 33444
Phone (561) 703-9956
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B251862929450 | FL | MD | Developmental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493251200000",
"number": "1346775301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "234 SW 10TH AVE",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "33444",
"telephone_number": "561-703-9956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 N FEDERAL HWY",
"address_2": "SUITE 101D",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334315188",
"telephone_number": "617-470-9827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAUCHAMP",
"first_name": "VANESSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-27",
"last_updated": "2017-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "FL",
"license": "B251862929450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.