Individual provider Active NPI

Gloria McBeth

  • Speech-Language Pathologist
  • Walnut Creek, CA
National Provider Identifier
1659771087
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8007 Issued in CA
Practice address
1920 Ptarmigan Dr
Apt 3
Walnut Creek, CA 94595-3500
Phone
(253) 250-6916
NPI assigned
Sep 4, 2014
Last updated
Sep 4, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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 8007 CA Primary

Addresses

Primary practice location

1920 Ptarmigan Dr
Apt 3
Walnut Creek, CA 94595-3500

Mailing address

1920 Ptarmigan Dr
Apt 3
Walnut Creek, CA 94595-3500
Phone (125) 325-0691

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

State licenses

LicenseStateTypeSpecialty
8007CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409788800000",
    "number": "1659771087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 PTARMIGAN DR",
            "address_2": "APT 3",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945953500",
            "telephone_number": "125-325-0691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 PTARMIGAN DR",
            "address_2": "APT 3",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945953500",
            "telephone_number": "253-250-6916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBETH",
        "first_name": "GLORIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-04",
        "last_updated": "2014-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "8007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.