Individual provider Active NPI

Kristin Beasley, M.A.

  • Speech-Language Pathologist
  • Glendale, AZ
National Provider Identifier
1922296763
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5647 Issued in AZ
Practice address
18001 N 79TH Ave Ste 53
Glendale, AZ 85308-8388
Phone
(520) 477-2708
NPI assigned
Oct 5, 2007
Last updated
Oct 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 5647 AZ Primary

Addresses

Primary practice location

18001 N 79TH Ave Ste 53
Glendale, AZ 85308-8388

Mailing address

18001 N 79TH Ave Ste 53
Glendale, AZ 85308-8388
Phone (520) 477-2708

Other identifiers 1

IdentifierTypeStateIssuer
NAOtherINSURANCE COMPANIES

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
5647AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
West Valley Speech Therapy, PLLC Speech-Language Pathologist CurrentSince Nov 1, 2020 Accepting new patients

Locations

18001 N 79th Ave
Ste 53
Glendale, AZ 85308
Phone (520) 477-2708

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1922296763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18001 N 79TH AVE STE 53",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088388",
            "telephone_number": "520-477-2708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18001 N 79TH AVE STE 53",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088388",
            "telephone_number": "520-477-2708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEASLEY",
        "first_name": "KRISTIN",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-05",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "5647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE COMPANIES",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.