MR. BEAU BENJAMIN BEDORE (NPI# 1679711832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679711832 |
| Entity Type | Individual |
| Full Name | MR. BEAU BENJAMIN BEDORE |
| Credential | CCC-SLP |
| Practice Address |
One Veterans Drive Va Medical Center (127a) Minneapolis MN 55417-2309 |
| Practice Telephone | 6126297551 |
| Mailing Telephone | 6126297551 |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2009-01-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 8407 | MN | Speech, Language and Hearing Service Providers |
| Street Address |
ONE VETERANS DRIVE VA MEDICAL CENTER (127A) |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55417-2309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922068006 | Marilyn A Thompson | Physical Medicine & Rehabilitation | One Veterans Drive, Minneapolis, MN 55417 | 2006-03-24 |
| 1629564620 | Andrea Jean Hegland | Pharmacist | One Veterans Drive, Pharmacy Service (119), Minneapolis, MN 55438 | 2018-07-03 |
| 1811401110 | Beth Ann Bohnsack | Registered Nurse | One Veterans Drive, Hr (05), Minneapolis, MN 55417 | 2017-11-22 |
| 1275060824 | Justin K Rewertz | Social Worker | One Veterans Drive, Minneapolis, MN 55417 | 2017-05-15 |
| 1790164770 | Dane Jensen | Psychiatry & Neurology | One Veterans Drive, Ars 1j-127, Minneapolis, MN 55417 | 2015-05-24 |
| 1851649636 | Elizabeth Jenna Robison-andrew | Psychologist | One Veterans Drive, Minneapolis, MN 55417 | 2012-08-27 |
| 1780961748 | Charidimos Tzagarakis | Specialist | One Veterans Drive, Minneapolis Vamc, Brain Sciences Center (11b), Minneapolis, MN 55417 | 2011-11-04 |
| 1881907012 | Lindsay Joy Chagnon | Registered Nurse | One Veterans Drive, Minneapolis, MN 55417-2309 | 2010-07-16 |
| 1760647135 | Martha E Manthie | Speech-Language Pathologist | One Veterans Drive, 127a Minneapolis Va Medical Center, Minneapolis, MN 55417-2309 | 2008-07-24 |
| 1265697916 | Karolina Peterson | Student in an Organized Health Care Education/Training Program | One Veterans Drive, Minneapolis, MN 55417 | 2008-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205444791 | Patrick Reilly Steck | Dentist | 4948 S 34th Ave, Minneapolis, MN 55417 | 2020-07-21 |
| 1174160832 | Susan Jacobson | Pharmacist | One Veterans Drive (119), Minneapolis, MN 55417 | 2019-12-02 |
| 1699240580 | Angela Cox | Social Worker | Vamc Minneapolis, 1 Veterans Drive (1k), Minneapolis, MN 55417 | 2018-10-08 |
| 1407353519 | Kirsten Kathleen Rydberg | Registered Nurse | One Veteran Drive, Minneapolis, MN 55417 | 2018-04-06 |
| 1902306038 | Ksa Psychological Services, LLC | Psychologist | 5603 Chicago Ave., Minneapolis, MN 55417 | 2018-02-15 |
| 1770025710 | Elizabeth Kate Adam | Registered Nurse | 613 E Minnehaha Pkwy, Minneapolis, MN 55417 | 2016-11-08 |
| 1831579754 | John Rossakis | Occupational Therapist | 5708 42nd Ave S, Minneapolis, MN 55417 | 2015-06-05 |
| 1205214566 | Karin Shelstad | Specialist/Technologist | 5501 10th Av S, Minneapolis, MN 55417 | 2015-05-07 |
| 1750712733 | Debra Sand | Massage Therapist | 2750 E 50th Street, Minneapolis, MN 55417 | 2013-12-02 |
| 1669764221 | Michael Alan Newman | Internal Medicine | One Veterans Drive (111-0), Minneapolis Veterans Affairs Medical Center, Minneapolis, MN 55417 | 2011-05-13 |
| Find all providers in zip 55417 | ||||
| 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 |
|---|---|---|---|---|
| 1982228961 | Stephanie Ellen Anderson | Speech-Language Pathologist | 401 Se Main St Apt 7011, Minneapolis, MN 55414-4618 | 2020-06-04 |
| 1093207979 | Abbie Hagen | Speech-Language Pathologist | 2450 Riverside Ave Rm M146, Minneapolis, MN 55454-1450 | 2018-06-05 |
| 1528594496 | Christina Bracke | Speech-Language Pathologist | 337 Washington Ave N Apt 529, Minneapolis, MN 55401-2745 | 2017-05-11 |
| 1205378924 | Elyse Kafkes | Speech-Language Pathologist | 4132 Bryant Ave S, Minneapolis, MN 55409-1424 | 2016-11-11 |
| 1245615228 | Meredith Jacobs | Speech-Language Pathologist | 4339 44th Ave S, Minneapolis, MN 55406-4058 | 2015-07-20 |
| 1467852731 | Eric Matthew Vander May | Speech-Language Pathologist | 2544 Harriet Ave, Apt 102, Minneapolis, MN 55405-3472 | 2014-08-24 |
| 1245647239 | Haley Marie Burleigh | Speech-Language Pathologist | 7520 Edinborough Way, Apt 2203, Minneapolis, MN 55435-4764 | 2014-07-22 |
| 1922418862 | Amy Crist | Speech-Language Pathologist | 3137 Harriet Ave # 2, Minneapolis, MN 55408-2908 | 2014-04-30 |
| 1578973772 | Jenna Aberson | Speech-Language Pathologist | 4319 Lyndale Ave S, Minneapolis, MN 55409-1815 | 2014-04-28 |
| 1457784514 | Rheanne Sarene Lewis | Speech-Language Pathologist | 3221 Saint Margaret Dr, Minneapolis, MN 55422-3847 | 2013-08-13 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55417 |
Please comment or provide details below to improve the information on MR. BEAU BENJAMIN BEDORE.
| 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.