Active NPI
Joanna C Beutel, SLP
- Speech-Language Pathologist
- Fuquay Varina, NC
National Provider Identifier
1962655001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1208550
- Practice address
- 1221 Broad St
Fuquay Varina, NC 27526-3602 - Phone
- (919) 552-4580
- NPI assigned
- Nov 3, 2008
- 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 | 1208550 | NC | Primary |
Addresses
Primary practice location
1221 Broad St
Fuquay Varina, NC 27526-3602
Mailing address
326 Colonial Hills Dr
Lillington, NC 27546-6259
Phone (336) 613-5792
Other names 1
- Joanna C Johnson
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1208550 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312502400000",
"number": "1962655001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "326 COLONIAL HILLS DR",
"city": "LILLINGTON",
"state": "NC",
"postal_code": "275466259",
"telephone_number": "336-613-5792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 BROAD ST",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275263602",
"telephone_number": "919-552-4580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEUTEL",
"first_name": "JOANNA",
"middle_name": "C",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-03",
"last_updated": "2011-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "1208550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOANNA",
"last_name": "JOHNSON",
"middle_name": "C",
"credential": "SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fuquay Varina, NC
- Shanna Benson, MSW, LCSWA
- Liliana Donoso Berman, FNP,MSN
- Michaela Berriault
- Jordan M Berry
- Best Day Psychiatry and Counseling, PC
- Ronak J. Bhagat, DMD, MS
- Poolak Bhatt, MD, DMD
- Bio-Medical Applications of North Carolina, Inc. (Bma of Fuquay Varina Kidney Center)
- Tonya Bishop
- Blackbird Counseling LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.