Kim Gray Beard, M.S.,CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL000433L Issued in PA

Practice address

1610 Pennsylvania Ave
Dillsburg, PA 17019-9672

Phone

(717) 432-8369

NPI assigned

Apr 16, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982829818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 PENNSYLVANIA AVE",
            "city": "DILLSBURG",
            "state": "PA",
            "postal_code": "170199672",
            "telephone_number": "717-432-8369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 PENNSYLVANIA AVE",
            "city": "DILLSBURG",
            "state": "PA",
            "postal_code": "170199672",
            "telephone_number": "717-432-8369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARD",
        "first_name": "KIM",
        "middle_name": "GRAY",
        "credential": "M.S.,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL000433L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017610810004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Baer, P.T.
• Ashleigh Bailey, CRNP
• Kyle W Barnett, PT
• Elizabeth Baublitz
• Ashley Lorren Bear, DNP, RN, PMHCNS-BC
• Rebekah Anne Becker, RDN, LDN
• Laura Robin Beeck, PT
• Alicia Sue Bettis, DPT
• Stephen Ross Betz, PT
• Andrea Bianco, RBT

• Speech-Language Pathologist in Dillsburg, PA
• Providers in Dillsburg, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.