Individual provider Active NPI

Xonnie Elin Beavers

  • Speech-Language Assistant
  • Murrieta, CA
National Provider Identifier
1356088975
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
3898 Issued in CA
Practice address
41760 Ivy St Ste 101
Murrieta, CA 92562-9416
Phone
(951) 595-4673
NPI assigned
May 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 3898 CA Primary

Addresses

Primary practice location

41760 Ivy St Ste 101
Murrieta, CA 92562-9416

Mailing address

41760 Ivy St Ste 101
Murrieta, CA 92562-9416
Phone (951) 595-4673

Other names 1

  • Xonnie Elin Lopez Former name

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

LicenseStateTypeSpecialty
3898CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Key to Behavior CurrentSince Jan 29, 2023 Accepting new patients
Hope Speech and Language Therapy CurrentSince May 22, 2022 Accepting new patients

Locations

41760 Ivy St
Ste 101
Murrieta, CA 92562
Phone (951) 215-6147

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1356088975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41760 IVY ST STE 101",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629416",
            "telephone_number": "951-595-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41760 IVY ST STE 101",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629416",
            "telephone_number": "951-595-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAVERS",
        "first_name": "XONNIE",
        "middle_name": "ELIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-16",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "3898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "XONNIE",
            "last_name": "LOPEZ",
            "middle_name": "ELIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; 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.