Wendy Bevan

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

013623 Issued in NY

Practice address

1118 Charles St
Elmira, NY 14904-2709

Phone

(607) 734-7107

Fax

(607) 734-7334

NPI assigned

Mar 14, 2013

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

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Able 2 Enhancing Potential

  • Multi-Specialty Clinic/Center
  • Elmira, NY
  • NPI 1841308392
  Medicare reassignment NPD
• The Chautauqua Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Dunkirk, NY
  • NPI 1760747521
  NPD (past)

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363219200000",
    "number": "1174864292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 CHARLES ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149042709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 CHARLES ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149042709",
            "telephone_number": "607-734-7107",
            "fax_number": "607-734-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVAN",
        "first_name": "WENDY",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-14",
        "last_updated": "2013-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "013623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Berman, LCSW
• Timothy Bernett, M.D.
• Chelcie Bernhardt
• Diane Bero
• Yaya Limunga Besong, MD
• Sophia Bezirganian, MD
• Prithvi Bhagat, DO
• Savita Bhayana, DDS
• Sophia Ari Bianca, LCSW
• Audrey Bickle

• Speech-Language Pathologist in Elmira, NY
• Providers in Elmira, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.