MEDICARE: SHAWNA JOSETTE BEASLEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237600000X	Audiologist-Hearing Aid Fitter	AUD.0000875	CO
2	231H00000X	Audiologist	AUD.0000875	CO

General Provider Information

NPI Number	:	1821510520
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAWNA JOSETTE BEASLEY

Provider Business Mailing Address
First Line	:	3100 REMINGTON ST
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-2602
Country	:	US
Telephone Number	:	970-266-8380
Fax Number	:	970-266-8495

Provider Business Practice Location Address
First Line	:	8201 SPINNAKER BAY DR
Second Line	:
City	:	WINDSOR
State	:	CO
Zip	:	80528-7533
Country	:	US
Telephone Number	:	970-682-8869
Fax Number	:	970-631-2269

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2017
Last Update Date	:	05/06/2025

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Directions to “ SHAWNA JOSETTE BEASLEY ” Practice Location

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