Sophie Bethke, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14405627 Issued in TX

Practice address

2951 Blanco Vista Blvd
San Marcos, TX 78666-5234

Phone

(512) 268-8506

NPI assigned

Aug 26, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1093434508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2951 BLANCO VISTA BLVD",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786665234",
            "telephone_number": "512-268-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2951 BLANCO VISTA BLVD",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786665234",
            "telephone_number": "512-268-8506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETHKE",
        "first_name": "SOPHIE",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "14405627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shyra Berish
• Cristina Berkompas
• Jesus Antonio Berlanga
• Alyssa Bernard
• Jessica Best, MD
• Larry Duane Beville, NP
• Anita Bhagavathula, DO
• Sarikaben Pravin Bhakta, P.T.
• Rahim Bhaloo, O.D.
• Justin Bickford, PT, DPT, OCS

• Speech-Language Pathologist in San Marcos, TX
• Providers in San Marcos, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.