Carol Deane Beach, M.A., CCC-A

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

20315 Issued in OR

Practice address

1367 W Harvard Ave
Roseburg, OR 97470-2838

Phone

(541) 672-8868

Fax

(541) 672-1142

NPI assigned

Jan 31, 2007

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Audiology Consultants of Southern Oregon, Inc.

  • Audiologist
  • Roseburg, OR
  • NPI 1003009325
  NPD (past)
• David E Owens MD PC

  • Otolaryngology Physician
  • Roseburg, OR
  • NPI 1861571440
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216080000000",
    "number": "1831236686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1367 W HARVARD AVE",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974712838",
            "telephone_number": "541-672-8868",
            "fax_number": "541-672-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1367 W HARVARD AVE",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974702838",
            "telephone_number": "541-672-8868",
            "fax_number": "541-672-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEACH",
        "first_name": "CAROL",
        "middle_name": "DEANE",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2008-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "OR",
            "license": "20315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "228320",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chavala Bates
• Shanai Ann Batsch, QMHA-R, CADC-R
• Patrick L. Battin, DDS, MA, RN
• Sara Ann Baxter, LCSW
• Kate Bayliss, MD, PHD
• Leah M Beattie, EPDH
• Gabrielle Jensen Beaujeu, LCSW
• Michelle S Beaumont
• Christy L Beck, CHW
• Cherann Marie Beer, LCSW

• Audiologist-Hearing Aid Fitter in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Audiologist-Hearing Aid Fitter in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.