Individual provider Active NPI

Andrea Marie Beames, MA, CCC-SLP

  • Speech-Language Pathologist
  • New Bern, NC
National Provider Identifier
1942642574
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
11824 Issued in NC
Practice address
2842 Neuse Blvd
New Bern, NC 28562-2839
Phone
(252) 514-4770
NPI assigned
Jul 24, 2013
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 11824 NC Primary

Addresses

Primary practice location

2842 Neuse Blvd
New Bern, NC 28562-2839

Mailing address

712 Savannah Dr
Jacksonville, NC 28546-8678

Other practice location 1

1015 Tiverton Rd
Mechanicsburg, PA 17050-7699
Phone (717) 379-4553

Other practice location 2

1015 Tiverton Rd
Mechanicsburg, PA 17050-7699
Phone (717) 379-4553

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
11824NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
NC DHHS Child and Family Well-Being PastSince Dec 15, 2019 Accepting new patients

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": "1374624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1942642574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 SAVANNAH DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285468678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2842 NEUSE BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622839",
            "telephone_number": "252-514-4770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1015 Tiverton Rd",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170507699",
            "country_code": "US",
            "telephone_number": "717-379-4553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1015 Tiverton Rd",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170507699",
            "country_code": "US",
            "telephone_number": "717-379-4553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEAMES",
        "first_name": "ANDREA",
        "middle_name": "MARIE",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "11824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.