Beverly Parham Masino, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

S0726 Issued in MS

Practice address

16 Stonewood Dr
Columbia, MS 39429-8107

Phone

(601) 731-5196

NPI assigned

Jan 4, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1357257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367798400000",
    "number": "1760729123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 STONEWOOD DR",
            "city": "COLUMBIA",
            "state": "MS",
            "postal_code": "394298107",
            "telephone_number": "601-731-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 STONEWOOD DR",
            "city": "COLUMBIA",
            "state": "MS",
            "postal_code": "394298107",
            "telephone_number": "601-731-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASINO",
        "first_name": "BEVERLY",
        "middle_name": "PARHAM",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-04",
        "last_updated": "2013-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S0726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09820000",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marion General Hospital
• Marion General Hospital
• Marion General Hospital
• Rowena Gail Martin, P.T.
• David J Martinez
• Raeisha Mattix, RN
• Matthew Mattox, P.T.
• Kelsey Landgraf May, PHARMD
• MC Medical, Inc.
• Daryn Michael McArthur, LPTA

• Speech-Language Pathologist in Columbia, MS
• Providers in Columbia, MS by specialty
• Speech-Language Pathologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; 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.