Organization Active NPI

Prevost Speech Therapy, LLC

  • Speech-Language Pathologist
  • Beaverton, OR
National Provider Identifier
1457984940
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Authorized official

Name
Rachel Prevost, MS, CCC-SLPNPI 1073923447
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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Other URL prevostspeechtherapy.com Direct

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, and the practitioner matching its NPPES authorized official.

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.

Verify at the official NPI Registry.