Active NPI
Bethany Lynn Dejoe, M.S. , CCC-SLP
- Speech-Language Pathologist
- Nashville, TN
National Provider Identifier
1437363017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2160
- Practice address
- 828 Russleo Dr
Nashville, TN 37209-4430 - Phone
- (615) 243-4172
- Fax
- (615) 356-2824
- NPI assigned
- May 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2160 | TN | Primary |
Addresses
Primary practice location
828 Russleo Dr
Nashville, TN 37209-4430
Mailing address
828 Russleo Dr
Nashville, TN 37209-4430
Phone (615) 243-4172
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2160 | TN | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437363017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "828 RUSSLEO DR",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372094430",
"telephone_number": "615-243-4172",
"fax_number": "615-356-2824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "828 RUSSLEO DR",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372094430",
"telephone_number": "615-243-4172",
"fax_number": "615-356-2824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEJOE",
"first_name": "BETHANY",
"middle_name": "LYNN",
"credential": "M.S. , CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "2160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.