Eileen Alexandra Betancourth

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA15427 Issued in FL

Practice address

445 W Amelia St
Orlando, FL 32801-1129

Phone

(407) 317-3200

Fax

(407) 317-3200

NPI assigned

Jun 9, 2023

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1275217481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 TURNSTONE WAY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328288475",
            "telephone_number": "407-928-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 W AMELIA ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328011129",
            "telephone_number": "407-317-3200",
            "fax_number": "407-317-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETANCOURTH",
        "first_name": "EILEEN",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-09",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA15427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis Betances, RCSWI
• Xiomara Betances
• Linda Betanco, PHARM.D.
• Veronica Betancourt Morales, M.S.
• Melissa Betancourt Somoano
• Avi Betcherman, PA-C
• Aimee Nicole Bethancourt, MD
• Zachary Bethel, PTA
• Desiree Monique Bethelmie, LMT
• Bethesda Health and Rejuvenation Center LLC

• Speech-Language Pathologist in Orlando, FL
• Providers in Orlando, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.