Connie A Beaumont, SLP, IBCLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

8718 Issued in MN

Practice address

2848 2ND St S Ste 155
Saint Cloud, MN 56301-3714

Phone

(320) 200-4473

Fax

(320) 584-2660

NPI assigned

Nov 10, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Beaumont Feeding & Speech Solutions LLC

  • Lactation Consultant (Non-RN)
  • Cold Spring, MN
  • NPI 1437912938

  Lactation Consultant, Non-RN

  NPD Authorized official
• Beaumont Integrative Therapies, LLC

  • Speech-Language Pathologist
  • Saint Cloud, MN
  • NPI 1144188293
  NPD Authorized official

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

{
    "created_epoch": "1320883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1871870485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8617 WHITE OAK RD",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563019477",
            "telephone_number": "320-200-4473",
            "fax_number": "320-584-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2848 2ND ST S STE 155",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563013714",
            "telephone_number": "320-200-4473",
            "fax_number": "320-584-2660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 Red River Ave N",
            "address_purpose": "LOCATION",
            "city": "Cold Spring",
            "state": "MN",
            "postal_code": "563201521",
            "country_code": "US",
            "telephone_number": "320-204-6181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEAUMONT",
        "first_name": "CONNIE",
        "middle_name": "A",
        "credential": "SLP, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-10",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": "MN",
            "license": "L-157708",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "8718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Baune, M.S., CCC-SLP
• Krista Dawn Bayer, RN
• Joy Beach, MSW, LICSW
• Shannon Beach, BSN
• Beaumont Integrative Therapies, LLC
• Leslie Ann Becher, LPN
• Renee Cassidy Ingram Bechly, D.M.D.
• Carrilyn Bechtold, OTR/L
• Angela Mae Beck, RD LD
• Dennis Robert Beck

• Speech-Language Pathologist in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Speech-Language Pathologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.