Individual provider Active NPI

Channa Gae Beckman, M.A.,CCC-SLP

  • Speech-Language Pathologist
  • Gig Harbor, WA
National Provider Identifier
1992909162
Registry record updated Aug 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA15968 Issued in FL
Practice address
5202 Olympic Dr Ste 100
Gig Harbor, WA 98335-1727
Phone
(253) 851-0007
Fax
(253) 514-8261
NPI assigned
Jun 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X LL00003090 WA
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SA15968 FL Primary
Speech-Language Pathologist 235Z00000X 7971 CT
Speech-Language Pathologist 235Z00000X SLP012672 GA

Addresses

Primary practice location

5202 Olympic Dr Ste 100
Gig Harbor, WA 98335-1727

Mailing address

238 Lafitte Cres
Fort Walton Beach, FL 32547-3293
Phone (253) 906-4000

Other practice location 1

26B Racetrack Rd NW
Fort Walton Beach, FL 32547-1622
Phone (850) 275-9986

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, FL, CT3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20091021000217 WA Practitioner - Qualified Speech Language Pathologist 1456498682 Reassigns benefits to 1 organization
I20230202000827 FL Practitioner - Qualified Speech Language Pathologist 1456498682 Reassigns benefits to 1 organization
I20250604001473 CT Practitioner - Qualified Speech Language Pathologist 1456498682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Harbor Speech Pathology PSGroup PAC ID 5395889497, 4 clinicians

Practice addresses (Care Compare)

15 N Star Dr
Seymour, CT 06483-3030
Phone (253) 851-0007

350 D Racetrack Rd NW
Fort Walton Beach, FL 32547-1699
Phone (253) 851-0007

5202 Olympic Dr
Suite 100
Gig Harbor, WA 98335-1727
Phone (253) 851-0007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
007971CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Speech Pathology, PS Speech-Language Pathologist CurrentSince Jul 1, 2009 Accepting new patients

Locations

1555 Post Rd E
Ste 102
Westport, CT 06880

350G Racetrack Rd NW
Ft Walton Bch, FL 32547
Phone (850) 374-3125

1992 Lewis Turner Blvd
Ft Walton Bch, FL 32547
Phone (850) 332-4127

26E Racetrack Rd NW
Ft Walton Bch, FL 32547
Phone (850) 226-6633

44 Milton Ave
Milton, GA 30009
Phone (253) 906-4000

5202 Olympic Dr
Ste 100
Gig Harbor, WA 98335
Phone (253) 318-6665

4700 Point Fosdick Dr
Ste 213
Gig Harbor, WA 98335
Phone (253) 851-5718

9576 Ridgetop Blvd NW
Ste L101
Silverdale, WA 98383
Phone (360) 447-9120

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": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787356800000",
    "number": "1992909162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 LAFITTE CRES",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325473293",
            "telephone_number": "253-906-4000",
            "fax_number": "253-549-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5202 OLYMPIC DR STE 100",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351727",
            "telephone_number": "253-851-0007",
            "fax_number": "253-514-8261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26B Racetrack Rd NW",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "325471622",
            "country_code": "US",
            "telephone_number": "850-275-9986",
            "fax_number": "253-514-8261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECKMAN",
        "first_name": "CHANNA",
        "middle_name": "GAE",
        "name_prefix": "Mrs.",
        "credential": "M.A.,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2026-08-22",
        "certification_date": "2026-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00003090",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA15968",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "7971",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP012672",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2026; 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.

Verify at the official NPI Registry.