Active NPI
Beth Wilson, MNS, CCC-SLP
- Speech-Language Pathologist
- Flagstaff, AZ
National Provider Identifier
1003098518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP0116
- Practice address
- 3285 E Sparrow Ave
Flagstaff, AZ 86004-7794 - Phone
- (928) 773-8139
- NPI assigned
- Nov 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP0116 | AZ | Primary |
Addresses
Primary practice location
3285 E Sparrow Ave
Flagstaff, AZ 86004-7794
Mailing address
3285 E Sparrow Ave
Flagstaff, AZ 86004-7794
Phone (928) 773-8139
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP0116 | AZ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flagstaff Unified School District #1 | Past | Accepting new patients | |
| Flagstaff Unified School District | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Student in an Organized Health Care Education/Training Program
- Flagstaff, AZ
- NPI 1275747206
-
- Local Education Agency (LEA)
- Flagstaff, AZ
- NPI 1407982226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196121600000",
"number": "1003098518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3285 E SPARROW AVE",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860047794",
"telephone_number": "928-773-8139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3285 E SPARROW AVE",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860047794",
"telephone_number": "928-773-8139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "BETH",
"name_prefix": "Mrs.",
"credential": "MNS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-27",
"last_updated": "2007-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP0116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.