Individual provider Active NPI

Allyson Beary

  • Speech-Language Pathologist
  • Springfield, MO
National Provider Identifier
1447772884
Registry record updated Jul 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2017023536 Issued in MO
Practice address
3023 S Fort Ave Ste B
Springfield, MO 65807-4217
Phone
(417) 890-4656
Fax
(417) 708-0889
NPI assigned
Jul 7, 2017
Last updated
Jul 7, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2017023536 MO Primary

Addresses

Primary practice location

3023 S Fort Ave Ste B
Springfield, MO 65807-4217

Mailing address

3023 S Fort Ave Ste B
Springfield, MO 65807-4217

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180910001353 MO Practitioner - Qualified Speech Language Pathologist 4183974363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Arc of the OzarksGroup PAC ID 7810159332, 14 clinicians

Practice addresses (Care Compare)

1721 W Elfindale St
Springfield, MO 65807-1295
Phone (417) 605-7100

2864 S Nettleton Ave
Springfield, MO 65807-5970
Phone (417) 605-7100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Arc of the Ozarks CurrentSince Sep 16, 2022 Accepting new patients
Connective Pathways LLC Speech-Language Pathologist Current Accepting new patients

Locations

1721 W Elfindale St
Springfield, MO 65807
Phone (417) 605-7100

2864 S Nettleton Ave
Springfield, MO 65807
Phone (417) 605-7100

3023 S Fort Ave
Ste B
Springfield, MO 65807
Phone (417) 605-7100

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, 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": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499385600000",
    "number": "1447772884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3023 S FORT AVE STE B",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658074217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 S FORT AVE STE B",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658074217",
            "telephone_number": "417-890-4656",
            "fax_number": "417-708-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARY",
        "first_name": "ALLYSON",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-07",
        "last_updated": "2017-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2017023536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2017; 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.