Individual provider Active NPI

Betsy Lynn Williams, MS CCC-SLP

  • Speech-Language Pathologist
  • Lancaster, WI
National Provider Identifier
1063577567
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2405-154 Issued in WI
Practice address
200 W Alona LN
Lancaster, WI 53813-2202
Phone
(608) 723-6357
NPI assigned
Dec 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2405-154 WI Primary

Addresses

Primary practice location

200 W Alona LN
Lancaster, WI 53813-2202

Mailing address

945 Hillcrest Cir
Platteville, WI 53818-3715
Phone (608) 348-6255

Other names 1

  • Betsy Mayernick Former name

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

LicenseStateTypeSpecialty
2405-154WIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Grant, Office of Clerk Dba Unified Community Services Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063577567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 HILLCREST CIR",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538183715",
            "telephone_number": "608-348-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ALONA LN",
            "city": "LANCASTER",
            "state": "WI",
            "postal_code": "538132202",
            "telephone_number": "608-723-6357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BETSY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MS  CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "2405-154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETSY",
            "last_name": "MAYERNICK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lancaster, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.