Active NPI
Nancy R Beighley, MA CCC SLP COM
- Speech-Language Pathologist
- Boulder, CO
National Provider Identifier
1609093202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 2885 E Aurora Avenue
Suite # 1
Boulder, CO 80303 - Phone
- (303) 419-9808
- Fax
- (303) 499-9268
- NPI assigned
- Apr 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | CO | Primary |
Addresses
Primary practice location
2885 E Aurora Avenue
Suite # 1
Boulder, CO 80303
Mailing address
2885 E Aurora Ave.
Suite # 1
Boulder, CO 80305
Phone (303) 419-9808
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19905742 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1609093202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2885 E AURORA AVE.",
"address_2": "SUITE # 1",
"city": "BOULDER",
"state": "CO",
"postal_code": "80305",
"telephone_number": "303-419-9808",
"fax_number": "303-499-9268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2885 E AURORA AVENUE",
"address_2": "SUITE # 1",
"city": "BOULDER",
"state": "CO",
"postal_code": "80303",
"telephone_number": "303-419-9808",
"fax_number": "303-499-9268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEIGHLEY",
"first_name": "NANCY",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "MA CCC SLP COM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CO",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "19905742",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.