Active NPI
Bethany Sue Krek, M.S. CCC-SLP
- Speech-Language Pathologist
- Wilmington, NC
National Provider Identifier
1457820201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 14222
- Practice address
- 5002 Randall Pkwy Ste 102
Wilmington, NC 28403-2829 - Phone
- (301) 331-1335
- Fax
- (910) 500-0126
- NPI assigned
- Nov 21, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 14222 | NC | Primary |
Addresses
Primary practice location
5002 Randall Pkwy Ste 102
Wilmington, NC 28403-2829
Mailing address
3713 Stormy Gale PL
Castle Hayne, NC 28429-6234
Phone (301) 331-1335
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 |
|---|---|---|---|
| 14222 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anchored Therapy Services, PLLC | Speech-Language Pathologist | Current | Accepting new patients |
| Washington County Early Intervention | Speech-Language Pathologist | Past | Accepting new patients |
| Board of Education of Washington County | Speech-Language Pathologist | Past | Accepting new patients |
Locations
432 Eastwood Rd
Ste 1C
Wilmington, NC 28403
5002 Randall Pkwy
Ste 102
Wilmington, NC 28403
Phone (301) 331-1335
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Wilmington, NC
- NPI 1821770231
-
- Local Education Agency (LEA)
- Hagerstown, MD
- NPI 1336276682
Speech-Language Pathologist
-
- Speech-Language Pathologist
- Hagerstown, MD
- NPI 1417082959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716940800000",
"number": "1457820201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3713 STORMY GALE PL",
"city": "CASTLE HAYNE",
"state": "NC",
"postal_code": "284296234",
"telephone_number": "301-331-1335",
"fax_number": "910-500-0126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5002 RANDALL PKWY STE 102",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284032829",
"telephone_number": "301-331-1335",
"fax_number": "910-500-0126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREK",
"first_name": "BETHANY",
"middle_name": "SUE",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-21",
"last_updated": "2024-05-29",
"certification_date": "2024-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "14222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.