Individual provider Active NPI

Bethany Tileston, CCC-SLP

  • Speech-Language Pathologist
  • Arvada, CO
National Provider Identifier
1457708497
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0002118 Issued in CO
Practice address
17780 W 95TH PL
Arvada, CO 80007-8019
Phone
(720) 308-4961
NPI assigned
May 19, 2016
Last updated
Aug 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 0002118 CO Primary

Addresses

Primary practice location

17780 W 95TH PL
Arvada, CO 80007-8019

Mailing address

17780 W 95TH PL
Arvada, CO 80007-8019
Phone (720) 308-4961

Other practice location 1

2696 S Colorado Blvd
Suite 345
Denver, CO 80222-5945
Phone (303) 722-0712

Other practice location 2

7850 Vance Dr
Arvada, CO 80003-2118
Phone (303) 420-2322

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

State licenses

LicenseStateTypeSpecialty
0002118COMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Center for Stuttering Therapy Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1457708497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17780 W 95TH PL",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800078019",
            "telephone_number": "720-308-4961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17780 W 95TH PL",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800078019",
            "telephone_number": "720-308-4961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2696 S Colorado Blvd",
            "address_2": "Suite 345",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802225945",
            "country_code": "US",
            "telephone_number": "303-722-0712",
            "fax_number": "303-722-0712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7850 Vance Dr",
            "address_purpose": "LOCATION",
            "city": "Arvada",
            "state": "CO",
            "postal_code": "800032118",
            "country_code": "US",
            "telephone_number": "303-420-2322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TILESTON",
        "first_name": "BETHANY",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-19",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "0002118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.