Debra A Beauchamp, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2019036498 Issued in MO

Practice address

4080 E Windsong St
Springfield, MO 65809-3536

Phone

(270) 307-5835

NPI assigned

Apr 7, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1508009549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4080 E WINDSONG ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658093536",
            "telephone_number": "127-030-7583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 E WINDSONG ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658093536",
            "telephone_number": "270-307-5835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUCHAMP",
        "first_name": "DEBRA",
        "middle_name": "A",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-07",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2019036498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE INSURANCE",
            "identifier": "00000000",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "laptop",
            "affiliation": "N",
            "address_1": "4080 E Windsong St",
            "city": "Springfield",
            "state": "MO",
            "country_code": "US",
            "postal_code": "658093536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "laptop",
            "affiliation": "N",
            "address_1": "4080 E Windsong St",
            "city": "Springfield",
            "state": "MO",
            "country_code": "US",
            "postal_code": "658093536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "laptop",
            "affiliation": "N",
            "address_1": "4080 E Windsong St",
            "city": "Springfield",
            "state": "MO",
            "country_code": "US",
            "postal_code": "658093536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jami L Beasley, NNP
• Michael Luther Beasley, D.D.S.
• Kaitlin Beason
• Linda B. Beason, LCSW
• Beau Alan Beattie, PHARMD
• Amber Leigh Beck, PA-C
• Bryan Beck, MD
• Irma Jean Beck, MSW, LCSW
• Karley B Beck, LCSW
• Whitani Beck, PLPC

• Occupational Therapist in Springfield, MO
• Providers in Springfield, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.