NPI age
3 years
Enumerated 2022-08-04
● Active
Type 1 · Individual
Caitlin Grace Raelee Beauchamp
Beauchamp is 1 of 15 specialist/technologist, other providers in Southlake and 1 of 1176 in Texas.
Primary specialty
Specialist/Technologist, Other
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2022-08-04
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1176 active specialist/technologist, other providers in Texas.
NPI age
3 years
↓ 6 yr below median (9 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
8% of peers hold subspecialties
NPI lifetime · 2022 → 2026
2022-08Enumerated in NPPES
2022
2026
Where they practice
Practice location
251 E Southlake Blvd Ste 150
Southlake, TX 760926276
Mailing address
251 E Southlake Blvd Ste 150
Southlake, TX 760926276
Specialties
-
Specialist/Technologist, Other PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 33984926 | DRIVERS LICENSE |
Practice context
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.