MR. JESSE BLAKE BEASLEY (NPI# 1295385607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295385607 |
| Entity Type | Individual |
| Full Name | MR. JESSE BLAKE BEASLEY |
| Credential | CCC-SLP |
| Practice Address |
500 Spring St Se Ste 101 Gainesville GA 30501-3773 |
| Practice Telephone | 7706157676 |
| Mailing Telephone | 7706157676 |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2019-09-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP010688 | GA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 841619876 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457434409 | Jesse C Beasley | Optometrist | 10024 S Vermont Ave # 2, Los Angeles, CA 90044-3112 | 2006-10-23 |
| Street Address |
500 SPRING ST SE STE 101 |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-3773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295893535 | Yuridia Garza | Occupational Therapist | 500 Spring St Se Ste 101, Gainesville, GA 30501-3773 | 2006-12-05 |
| 1851908628 | Steven Zachary Sofley | Physical Therapist | 500 Spring St Se Ste 101, Gainesville, GA 30501-3773 | 2020-09-25 |
| 1962060350 | Melanie Reilly | Speech-Language Pathologist | 500 Spring St Se Ste 101, Gainesville, GA 30501-3773 | 2019-05-31 |
| 1548746506 | Ruth Ann Street | Occupational Therapist | 500 Spring St Se Ste 101, Gainesville, GA 30501-3773 | 2018-07-12 |
| 1922594928 | Paula Marie Nagorski | Occupational Therapist | 500 Spring St Se Ste 101, Gainesville, GA 30501-3773 | 2018-07-03 |
| 1881133239 | Andrea Garcia Rodriguez | Occupational Therapist | 500 Spring St Se Ste 101, Gainesville, GA 30501-3773 | 2017-02-17 |
| 1053543678 | Tori Pou | Physical Therapist | 500 Spring St Se Ste 101, Gainesville, GA 30501-3773 | 2009-08-14 |
| 1083891907 | Lifting Spirits Therapy Services, Inc | Occupational Therapist | 500 Spring St Se Ste 101, Gainesville, GA 30501-3773 | 2008-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564202 | Christie L Williams | Speech-Language Pathologist | 4715 Nw 28th Ter, Gainesville, FL 32605-1105 | 2020-10-06 |
| 1962019893 | Miriam Beth Rosenberg | Speech-Language Pathologist | 3843 Sweet Magnolia Dr, Gainesville, GA 30504-5949 | 2020-09-24 |
| 1114534104 | Sharon Cavallaro | Speech-Language Pathologist | 14500 John Marshall Hwy, Gainesville, VA 20155-1605 | 2020-09-24 |
| 1427660786 | Samantha Mallek | Speech-Language Pathologist | 10511 Wharfdale Pl, Gainesville, VA 20155-4871 | 2020-08-18 |
| 1528678158 | Camila Pryor | Speech-Language Pathologist | 2635 Sw 35th Pl Apt 1803, Gainesville, FL 32608-3278 | 2020-08-07 |
| 1477170645 | Kayla Erin Gillispie | Speech-Language Pathologist | 2676 Candler Rd, Gainesville, GA 30507-8961 | 2020-07-02 |
| 1194348631 | Deidre Dodd | Speech-Language Pathologist | 13730 Nw 30th Rd, Gainesville, FL 32606-9325 | 2020-05-19 |
| 1801416557 | Melissa Bray | Speech-Language Pathologist | 2114 Nw 40th Ter Ste C3, Gainesville, FL 32605-3592 | 2020-04-23 |
| 1407403785 | Emily Daisy Herndon | Speech-Language Pathologist | 1676 Sw 16th St, Gainesville, FL 32608-1162 | 2019-08-21 |
| 1700372646 | Carlos Andres Saucedo | Speech-Language Pathologist | 4000 Nw 51st St Apt J174, Gainesville, FL 32606-4353 | 2018-07-03 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
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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.