Bethany Shea Pearrow

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP#P8280 Issued in AR

Practice address

1570 Wilson Loop
Ward, AR 72176-8656

Phone

(501) 843-9601

Fax

(501) 843-9744

NPI assigned

Dec 9, 2009

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 9, 2009.

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260316800000",
    "number": "1154650828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 WILSON LOOP",
            "city": "WARD",
            "state": "AR",
            "postal_code": "721768656",
            "telephone_number": "501-843-9601",
            "fax_number": "501-843-9744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 WILSON LOOP",
            "city": "WARD",
            "state": "AR",
            "postal_code": "721768656",
            "telephone_number": "501-843-9601",
            "fax_number": "501-843-9744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARROW",
        "first_name": "BETHANY",
        "middle_name": "SHEA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-09",
        "last_updated": "2009-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP#P8280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Ward, AR
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; 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.