Active NPI
Melissa Sue Beithon, MS, CCC-SLP
- Speech-Language Pathologist
- Northfield, MN
National Provider Identifier
1679813299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5686
- Practice address
- 605 Spring St N
Northfield, MN 55057-1346 - Phone
- (507) 202-5811
- NPI assigned
- Feb 19, 2013
- Last updated
- Feb 19, 2013
- 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 | 5686 | MN | Primary |
Addresses
Primary practice location
605 Spring St N
Northfield, MN 55057-1346
Mailing address
605 Spring St N
Northfield, MN 55057-1346
Phone (507) 202-5811
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5686 | Other | MN | MN STATE LICENSURE |
| 01097278 | Other | ASHA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5686 | MN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361232000000",
"number": "1679813299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 SPRING ST N",
"city": "NORTHFIELD",
"state": "MN",
"postal_code": "550571346",
"telephone_number": "507-202-5811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 SPRING ST N",
"city": "NORTHFIELD",
"state": "MN",
"postal_code": "550571346",
"telephone_number": "507-202-5811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEITHON",
"first_name": "MELISSA",
"middle_name": "SUE",
"name_prefix": "Mrs.",
"credential": "MS, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-19",
"last_updated": "2013-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MN",
"license": "5686",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MN STATE LICENSURE",
"identifier": "5686",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHA",
"identifier": "01097278",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northfield, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.