Active NPI
Amy Breaux
- Speech-Language Pathologist
- Beaumont, TX
National Provider Identifier
1851711923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 104835
- Practice address
- 755 S 11TH St
Ste #270
Beaumont, TX 77701-3732 - Phone
- (409) 835-0228
- NPI assigned
- Apr 16, 2014
- Sex
- Female
- Sole proprietor
- No
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 | 104835 | TX | Primary |
Addresses
Primary practice location
755 S 11TH St
Ste #270
Beaumont, TX 77701-3732
Mailing address
755 S 11TH St
Ste #270
Beaumont, TX 77701-3732
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104835 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397606400000",
"number": "1851711923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "755 S 11TH ST",
"address_2": "STE #270",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777013732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 S 11TH ST",
"address_2": "STE #270",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777013732",
"telephone_number": "409-835-0228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREAUX",
"first_name": "AMY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-16",
"last_updated": "2014-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "104835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaumont, TX
- Alfred B. Brady Jr., M.D.
- Brain and Spine Center of Southeast Texas, PLLC (Spine Tech)
- Martha Ortega Brands, O.D.
- Paris Patrick Bransford, MD
- Roxanne Elizabeth Braswell, R.PH.
- Brittany Nicole Breaux, LVN
- Brent Mainwaring MD PA (The Odc)
- Collin Brice, MS SLP
- Brident Dental Associates PC
- Kierra Bridgewater, M.ED., LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.