Dustin Beckner, CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2204000456 Issued in VA

Practice address

650 N Jefferson St
Roanoke, VA 24016-1427

Phone

(540) 343-3484

NPI assigned

Dec 6, 2020

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1607212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607212800000",
    "number": "1669078697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3349 GLADE CREEK BLVD NE APT 8",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240128683",
            "telephone_number": "276-618-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 N JEFFERSON ST",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240161427",
            "telephone_number": "540-343-3484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKNER",
        "first_name": "DUSTIN",
        "credential": "CF-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-06",
        "last_updated": "2020-12-06",
        "certification_date": "2020-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2204000456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centoria Louisa Beaver
• Amanda Elizabeth Beck, OT
• Jason Lee Beckendorf, PA-C
• Becker Clinic LTD
• Melissa Mae Beckler, OTR/L
• Kelly D Beckner, M.S. CCC-SLP
• Loren Beckner
• Olive Bediako, CSAC SUPERVISEE
• Angela Cool Bedwell, FNP
• Lucius Courtenay Beebe Sr., MD

• Speech-Language Pathologist in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2020; 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.