Active NPI
Beverly Goodson, M.A. CCC-SLP
- Speech-Language Pathologist
- Pensacola, FL
National Provider Identifier
1659826899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA14823
- Practice address
- 3450 Wimbledon Dr
Pensacola, FL 32504-4503 - Phone
- (850) 434-3232
- NPI assigned
- Aug 17, 2016
- 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 | SA14823 | FL | Primary |
Addresses
Primary practice location
3450 Wimbledon Dr
Pensacola, FL 32504-4503
Mailing address
3450 Wimbledon Dr
Pensacola, FL 32504-4503
Phone (850) 434-3232
Other names 1
- Beverly Locker
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1424 Montclair Rd
Irondale, AL 35210-2208
Phone (800) 381-0822
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA14823 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab Advantage Solutions, PLLC | Current | Accepting new patients |
Locations
1424 Montclair Rd
Irondale, AL 35210
Phone (205) 956-4150
8477 S Suncoast Blvd
Homosassa, FL 34446
Phone (800) 381-0822
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1659826899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3450 WIMBLEDON DR",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325044503",
"telephone_number": "850-434-3232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 WIMBLEDON DR",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325044503",
"telephone_number": "850-434-3232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODSON",
"first_name": "BEVERLY",
"credential": "M.A. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-17",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA14823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BEVERLY",
"last_name": "LOCKER",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.