Larry Lonnel Beasley, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

271021 Issued in KY

Practice address

980 Morgantown Rd
Bowling Green, KY 42101-3644

Phone

(270) 495-1312

NPI assigned

Jul 26, 2021

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1548933732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 MORGANTOWN RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421013644",
            "telephone_number": "270-495-1312",
            "fax_number": "270-495-1351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 MORGANTOWN RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421013644",
            "telephone_number": "270-495-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEASLEY",
        "first_name": "LARRY",
        "middle_name": "LONNEL",
        "name_prefix": "Mr.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-26",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "271021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Bean, BHS
• Lasondra Bean, APRN
• Rebekkah Haleigh Bean, PT, DPT
• Anaya Renea Beard, RBT
• Craig A Beard, M.D.
• James F. Beattie, M.D.
• Leslie McLain Beattie
• Christopher Beatty, CASE MANAGER
• Shelby Malynn Beauchamp, RBT
• Abigail Becker, RBT

• Speech-Language Pathologist in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.