Active NPI
Bethany Sue Perry
- Speech-Language Pathologist
- Axtell, KS
National Provider Identifier
1366873192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1051
- Practice address
- 606 Pine St
Axtell, KS 66403-9617 - Phone
- (785) 736-2798
- NPI assigned
- Dec 4, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1051 | KS | MD | Marriage & Family Therapist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1051 | KS | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
606 Pine St
Axtell, KS 66403-9617
Mailing address
606 Pine St
Axtell, KS 66403-9617
Phone (785) 736-2798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 4, 2013.
{
"created_epoch": "1386115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386115200000",
"number": "1366873192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 PINE ST",
"city": "AXTELL",
"state": "KS",
"postal_code": "664039617",
"telephone_number": "785-736-2798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 PINE ST",
"city": "AXTELL",
"state": "KS",
"postal_code": "664039617",
"telephone_number": "785-736-2798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "BETHANY",
"middle_name": "SUE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-04",
"last_updated": "2013-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KS",
"license": "1051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Axtell, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.