Individual provider Active NPI

Angela Christine Beard-Beal, MS,CCC-SLP

  • Speech-Language Pathologist
  • Phoenix, IL
National Provider Identifier
1366750549
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202010827 Issued in VA
Practice address
616 Frances St
Phoenix, IL 60426-2624
Phone
(708) 333-7227
NPI assigned
Sep 21, 2010
Last updated
Aug 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 105685 TX
Speech-Language Pathologist 235Z00000X 146010507 IL
Speech-Language Pathologist 235Z00000X SL009889 PA
Speech-Language Pathologist 235Z00000X SLP012485 GA
Speech-Language Pathologist 235Z00000X 2202010827 VA Primary

Addresses

Primary practice location

616 Frances St
Phoenix, IL 60426-2624

Mailing address

1295 Mackinaw Ave
Calumet City, IL 60409-5730
Phone (708) 333-7227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240926000579 VA Practitioner - Qualified Speech Language Pathologist 8123480944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schie Speech LLCGroup PAC ID 6507194552, 3 clinicians

Practice addresses (Care Compare)

5701 Cleveland St
Suite 150
Virginia Beach, VA 23462-1789
Phone (757) 401-4435

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
146010507ILMDSpeech-Language Pathologist
SL009889PAMDSpeech-Language Pathologist
2202010827VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Schie Speech LLC Speech-Language Pathologist CurrentSince Jul 19, 2024 Accepting new patients

Locations

5589 Greenwich Rd
Ste 150
Virginia Beach, VA 23462
Phone (757) 401-4435

5701 Cleveland St
Ste 150
Virginia Beach, VA 23462
Phone (757) 401-4435

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": "1285027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1366750549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 MACKINAW AVE",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604095730",
            "telephone_number": "708-333-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 FRANCES ST",
            "city": "PHOENIX",
            "state": "IL",
            "postal_code": "604262624",
            "telephone_number": "708-333-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARD-BEAL",
        "first_name": "ANGELA",
        "middle_name": "CHRISTINE",
        "credential": "MS,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-21",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "105685",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146010507",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL009889",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP012485",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202010827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.