Individual provider Active NPI

Erin Beaudry

  • Speech-Language Pathologist
  • Hudsonville, MI
National Provider Identifier
1720679665
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101007844 Issued in MI
Practice address
3300 Van Buren St Ste A6
Hudsonville, MI 49426-1132
Phone
(616) 229-0525
NPI assigned
Feb 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 146.015396 IL
Speech-Language Pathologist 235Z00000X 7101007844 MI Primary

Addresses

Primary practice location

3300 Van Buren St Ste A6
Hudsonville, MI 49426-1132

Mailing address

221 Kathryn LN
North Aurora, IL 60542-1750
Phone (630) 253-8458

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220615000299 MI Practitioner - Qualified Speech Language Pathologist 8224417613 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
146.015396ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Early Foundations Speech and Feeding Services Speech-Language Pathologist CurrentSince Jan 17, 2024 Accepting new patients
Treehouse Pediatric Therapy P.C. Speech-Language Pathologist PastSince Feb 1, 2021 Accepting new patients

Locations

3300 Van Buren St
Ste A6
Hudsonville, MI 49426
Phone (616) 229-0525

Organizations & group practices 2

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": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1720679665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 KATHRYN LN",
            "city": "NORTH AURORA",
            "state": "IL",
            "postal_code": "605421750",
            "telephone_number": "630-253-8458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 VAN BUREN ST STE A6",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494261132",
            "telephone_number": "616-229-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUDRY",
        "first_name": "ERIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-02",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.015396",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101007844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudsonville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.

Verify at the official NPI Registry.