Active NPI
Prevost Speech Therapy, LLC
- Speech-Language Pathologist
- Beaverton, OR
National Provider Identifier
1457984940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- PREVOST SPEECH THERAPY, LLC
- Practice address
- 13200 SW Butner Rd
Beaverton, OR 97005-0851 - Phone
- (503) 728-8004
- NPI assigned
- Feb 13, 2020
- Last updated
- Nov 25, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rachel Prevost, MS, CCC-SLP
- Title
- Speech Language Pathologist/Owner
- Phone
- (503) 728-8004
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | NU | Primary |
Addresses
Primary practice location
13200 SW Butner Rd
Beaverton, OR 97005-0851
Mailing address
13200 SW Butner Rd
Beaverton, OR 97005-0851
Phone (503) 728-8004
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | prevostspeechtherapy.com | Direct |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Speech-Language Pathologist
- Beaverton, OR
- NPI 1073923447
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732492800000",
"number": "1457984940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13200 SW BUTNER RD",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970050851",
"telephone_number": "503-728-8004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13200 SW BUTNER RD",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970050851",
"telephone_number": "503-728-8004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREVOST SPEECH THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-13",
"last_updated": "2024-11-25",
"certification_date": "2024-11-25",
"status": "A",
"authorized_official_last_name": "PREVOST",
"authorized_official_first_name": "RACHEL",
"authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST/OWNER",
"authorized_official_telephone_number": "503-728-8004",
"authorized_official_credential": "MS, CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "prevostspeechtherapy.com",
"affiliation": "N",
"endpointDescription": "Business Website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Information related to business and contact information",
"address_1": "13200 SW Butner Rd",
"city": "Beaverton",
"state": "OR",
"country_code": "US",
"postal_code": "970050851",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.