Organization Active NPI

Bethany P Vigilante Ma CCC-SLP Inc

  • Speech-Language Pathologist
  • Greensboro, NC
National Provider Identifier
1457166399
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
BETHANY P VIGILANTE MA CCC-SLP INC
Practice address
3618 Redfield Dr
Greensboro, NC 27410-2830
Phone
(336) 420-7850
NPI assigned
Feb 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Bethany Parrish Vigilante, MA CCC-SLPNPI 1225487887
Title
President
Phone
(336) 420-7850

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

3618 Redfield Dr
Greensboro, NC 27410-2830

Mailing address

3618 Redfield Dr
Greensboro, NC 27410-2830
Phone (336) 420-7850

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1457166399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3618 REDFIELD DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102830",
            "telephone_number": "336-420-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3618 REDFIELD DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102830",
            "telephone_number": "336-420-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY P VIGILANTE MA CCC-SLP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-09",
        "status": "A",
        "authorized_official_last_name": "VIGILANTE",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_middle_name": "PARRISH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-420-7850",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.