KERRY A BEASLEY (NPI# 1053853945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053853945 |
| Entity Type | Individual |
| Full Name | KERRY A BEASLEY |
| Credential | AU.D |
| Practice Address |
77 W Forest Ave Ste 212 Flagstaff AZ 86001-1481 |
| Mailing Address |
Po Box 31210 Flagstaff AZ 86003-1210 |
| Practice Telephone | 9287732222 |
| Practice Fax Number | 9287732287 |
| Mailing Telephone | 9287732222 |
| Mailing Fax Number | 9287732598 |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2020-10-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | DA10277 | AZ | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AETNA | 1053853945 | 01 |
| AZ | CIGNA | 1053853945 | 01 |
| AZ | AZFMC | 1053853945 | 01 |
| AZ | BCBS | 1053853945 | 01 |
| AZ | UHC | 1053853945 | 01 |
| AZ | MEDICARE | Z196468 | 01 |
| AZ | HUMANA | 1053853945 | 01 |
| AZ | 213468 | 05 |
| Street Address |
77 W FOREST AVE STE 212 |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86001-1481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658756 | Marlenne Adair Escobar-mendoza | Specialist/Technologist | 1705 South San Francisco Street, Flagstaff, AZ 86001 | 2020-10-27 |
| 1962033712 | Laura-lee Prescott | Social Worker | Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 | 2020-01-30 |
| 1194360784 | Trinity Medical Consultants Pllc | Internal Medicine | 1521 N Cliff Drive, Flagstaff, AZ 86001 | 2019-11-07 |
| 1154849610 | Altacare, LLC | Family Medicine | 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 | 2017-09-05 |
| 1487174926 | Lindsey Marie Forstie | Nurse Practitioner | 7263 E Dreamview Trail, Flagstaff, AZ 86001 | 2017-06-26 |
| 1255860763 | Welbrook Senior Living Flagstaff LLC | Skilled Nursing Facility | 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 | 2017-06-08 |
| 1912432675 | Ryan Tiscareno | Specialist/Technologist | 621 West Cherry Ave, Flagstaff, AZ 86001 | 2017-05-01 |
| 1629432380 | Behavioral Consultation Services, Inc. | Clinic/Center | 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 | 2016-04-08 |
| 1275920928 | Junli Gallagher | Speech-Language Pathologist | 1215 N. Beaver St, Flagstaff, AZ 86001 | 2015-04-21 |
| 1932592599 | Kristen Flugstad Psyd, LLC | Psychologist | 125 East Elm Avenue #203, Flagstaff, AZ 86001 | 2015-03-06 |
| Find all providers in zip 86001 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104318997 | Jeffery Lane Jr. | Audiologist | 1330 N Rim Dr Ste B, Flagstaff, AZ 86001-3138 | 2018-06-06 |
| 1871118984 | Nancy Gloria Flores | Audiologist | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-06-15 |
| 1306259049 | Connect Hearing, Inc. | Audiologist | 405 N Beaver St, Suite 4, Flagstaff, AZ 86001-4500 | 2014-06-10 |
| 1164861373 | The Hearing Professionals, Inc. | Audiologist | 405 N Beaver St, Suite 4, Flagstaff, AZ 86001-4500 | 2013-06-20 |
| 1760730907 | Benjamin J Smith | Audiologist | 1200 N Beaver St, Attn: Audiology Department (crs), Flagstaff, AZ 86001-3118 | 2012-08-20 |
| 1659630028 | Erica Marissa Hansen | Audiologist | 77 W Forest Ave, Suite 305, Flagstaff, AZ 86001-1479 | 2012-05-04 |
| 1770857781 | Trinity Hearing Center, Inc. | Audiologist | 1330 N Rim Dr, Suite B, Flagstaff, AZ 86001-3134 | 2012-03-08 |
| 1467744144 | Sarah E. Wright | Audiologist | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2011-05-12 |
| 1376878751 | Stephanie Watson | Audiologist | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2009-10-02 |
| 1003952565 | Susan Pomeroy Bassett | Audiologist | 1200 N Beaver St, Audiology Department, Flagstaff, AZ 86001-3118 | 2007-01-30 |
| Find all providers in FLAGSTAFF | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.