Individual provider Active NPI

Paige Jordan Beauclair, SLP-A

  • Speech-Language Assistant
  • Oklahoma City, OK
National Provider Identifier
1992496814
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
315 Issued in OK
Practice address
200 NW 66TH St Ste 925
Oklahoma City, OK 73116-8227
Phone
(405) 286-3749
Fax
(405) 300-0737
NPI assigned
May 19, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 315 OK Primary

Addresses

Primary practice location

200 NW 66TH St Ste 925
Oklahoma City, OK 73116-8227

Mailing address

8112 Rausch LN
Oklahoma City, OK 73135-1200
Phone (405) 219-6048

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

LicenseStateTypeSpecialty
315OKMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Today'S Therapy Solutions PastSince May 21, 2023 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1992496814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8112 RAUSCH LN",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731351200",
            "telephone_number": "405-219-6048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NW 66TH ST STE 925",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731168227",
            "telephone_number": "405-286-3749",
            "fax_number": "405-300-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUCLAIR",
        "first_name": "PAIGE",
        "middle_name": "JORDAN",
        "credential": "SLP-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "OK",
            "license": "315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; 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.