Active NPI
Macey Lee Beauboeuf, CCC- SLP
- Speech-Language Pathologist
- Dallas, TX
National Provider Identifier
1942886288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 8437
- Practice address
- 13727 Noel Rd Ste 200
Dallas, TX 75240-1338 - Phone
- (972) 851-1022
- NPI assigned
- Mar 18, 2021
- 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 | 8437 | LA | Primary |
Addresses
Primary practice location
13727 Noel Rd Ste 200
Dallas, TX 75240-1338
Mailing address
2424 Coulee Crossing Rd
Woodworth, LA 71485-9730
Phone (318) 229-3742
Other practice location 1
2424 Coulee Crossing Rd
Woodworth, LA 71485-9730
Phone (318) 229-3742
Other names 1
- Macey Lee Matheson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2424 Coulee Crossing Rd
Woodworth, LA 71485-9730
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8437 | LA | MD | Speech-Language Pathologist |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616025600000",
"number": "1942886288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2424 COULEE CROSSING RD",
"city": "WOODWORTH",
"state": "LA",
"postal_code": "714859730",
"telephone_number": "318-229-3742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13727 NOEL RD STE 200",
"city": "DALLAS",
"state": "TX",
"postal_code": "752401338",
"telephone_number": "972-851-1022"
}
],
"practiceLocations": [
{
"address_1": "2424 Coulee Crossing Rd",
"address_purpose": "LOCATION",
"city": "Woodworth",
"state": "LA",
"postal_code": "714859730",
"country_code": "US",
"telephone_number": "318-229-3742",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEAUBOEUF",
"first_name": "MACEY",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "CCC- SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-18",
"last_updated": "2021-03-18",
"certification_date": "2021-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "8437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MACEY",
"last_name": "MATHESON",
"middle_name": "LEE",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.