Kimberly Beaugez
Individual provider Active NPI Speech-Language Pathologist · Estero, FL
NPI 1962614271 · NPPES record last updated Jul 11, 2024
Key facts
- NPI
- 1962614271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SA6971 (FL)
- Practice address
- 9500 Corkscrew Palms Cir Ste 5
Estero, FL 33928-3307 - Phone
- (239) 400-1705
- Fax
- (223) 298-7637
- NPI assigned
- May 7, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA6971 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SWFL Speech Therapy, Inc. | Speech-Language Pathologist | Current |
Accepting new patients |
| SWFL Speech Therapy, Inc. | Speech-Language Pathologist | Current | Accepting new patients |
Locations
9470 Corkscrew Palms Cir
Ste 104
Estero, FL 33928
Phone (239) 237-5688
14260 Metropolis Ave
Ste 103
Fort Myers, FL 33912
Phone (239) 400-1705
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA6971 | FL | Yes |
Addresses
Primary practice location
9500 Corkscrew Palms Cir Ste 5
Estero, FL 33928-3307
Mailing address
20942 Napa Loop
Estero, FL 33928-9691
Phone (239) 400-1705
Other practice location 1
14260 Metropolis Ave Ste 103
Fort Myers, FL 33912-4436
Phone (239) 482-3154
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021626600 | Medicaid | FL |
Other names
- Mrs. Kim Beaugez
Other providers in Estero, FL
- Christine Sarah Backus
- Martha Barzana-Fernandez
- Joseph William Bascuas
- Shristi Basnyat
- Richard F. Beatty
- Lisa Marie Behnke
- Robert Paul Belin
- Olivier Belizaire
- Ricardo Bendeck
- Valmira Bendi
All providers in Estero, FL · Speech-Language Pathologist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.