Eileen Mary Beddall, M.A. CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5071 Issued in MT

Practice address

108 Nash Creek LN
Bozeman, MT 59715-7176

Phone

(717) 418-9744

NPI assigned

Apr 10, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Root Therapy and Wellness

  • Multi-Specialty Clinic/Center
  • Bozeman, MT
  • NPI 1194296897
  Medicare reassignment NPD
• Spinerx Scoliosis and Spine Rehab, LLC

  • Physical Therapist
  • Bozeman, MT
  • NPI 1447938964
  NPD (past)

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1548689201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 NASH CREEK LN",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597157176",
            "telephone_number": "717-418-9744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 NASH CREEK LN",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597157176",
            "telephone_number": "717-418-9744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDDALL",
        "first_name": "EILEEN",
        "middle_name": "MARY",
        "credential": "M.A. CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-10",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MT",
            "license": "5071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Howard Beaudry, MASSAGE THERAPIST
• Pascal Roger Beauvais
• Anna Bechtold, DPT
• Catherine Elizabeth Beck, LCPC
• Michelle S Becker, PHYSICAL THERAPIST
• Mary E Beddoe, L.AC.
• Bryan Marshall Beebe, DDS
• Anna S Beers, MD
• Beforewebegin, Inc. (Maro)
• Amanda Behrendt, LCPC

• Speech-Language Pathologist in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Speech-Language Pathologist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.