Active NPI
Erin Lynn Beasley
- Speech-Language Pathologist
- Plantation, FL
National Provider Identifier
1699935767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA 6023
- Practice address
- 447 NW 73Rd Ave
Plantation, FL 33317-1608 - Phone
- (954) 583-7383
- Fax
- (954) 583-7388
- NPI assigned
- Jun 12, 2008
- Last updated
- Jun 12, 2008
- 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 | SA 6023 | FL | Primary |
Addresses
Primary practice location
447 NW 73Rd Ave
Plantation, FL 33317-1608
Mailing address
7501 NW 7TH St
Plantation, FL 33317-1009
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA 6023 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nova Southeastern University, Inc | Speech-Language Pathologist | Current | Accepting new patients |
| Nova Southeastern University, Inc | Current | Accepting new patients | |
| Nova Southeastern University, Inc | Past | Accepting new patients | |
| Nova Southeastern University, Inc | Past | Accepting new patients |
Locations
3200 S University Dr
Davie, FL 33328
Phone (954) 262-1250
650 N Andrews Ave
Ft Lauderdale, FL 33311
Phone (954) 463-4213
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Fort Lauderdale, FL
- NPI 1700924511
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Davie, FL
- NPI 1306918412
Speech-Language Pathologist
-
- Family Medicine Physician
- Davie, FL
- NPI 1447345517
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Davie, FL
- NPI 1770722282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213228800000",
"number": "1699935767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7501 NW 7TH ST",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333171009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "447 NW 73RD AVE",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333171608",
"telephone_number": "954-583-7383",
"fax_number": "954-583-7388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEASLEY",
"first_name": "ERIN",
"middle_name": "LYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-12",
"last_updated": "2008-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 6023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plantation, FL
- BBB Urgent Care North Broward LLC
- BC Surgical Center, Inc.
- BCC Therapy Group Inc
- Be Empowered Coaching, Inc. (Empowering Counseling Services)
- Be Free Therapy, S Corp (Bettina Bruno Brown)
- Adrian Alphonzo Beason Jr.
- Trinidee Lovette Beauchamp, ARNP
- Farah Beauge, APRN/PMHNP
- Karen Ann Beaulieu, PA
- Beautiful Mind Health LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.