Shanna Beattie

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

TL-1320 Issued in NJ

Practice address

2305 Rancocas Rd
Burlington, NJ 08016-4113

Phone

(609) 747-8619

NPI assigned

Apr 11, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

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": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679796338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 PINE VALLEY RD",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080752306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 RANCOCAS RD",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080164113",
            "telephone_number": "609-747-8619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATTIE",
        "first_name": "SHANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00545500",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "TL-1320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosalina Barroso, LPN
• Roseann Bartolomeo, COTA
• Seferina Rebecca Batista, RN
• Tia Verzel Baxter
• Gerry Patricia Bayer, LPN
• Lorna Beaumont, RN
• Morgan Elizabeth Bennett, ATC
• Nancy Bennett, LPN
• Bonnie Lee Berg, COTA
• Jodi Liebman Berg, MD

• Speech-Language Pathologist in Burlington, NJ
• Providers in Burlington, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.