Bethany Worster, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

ST1689 Issued in ME

Practice address

1092A Douty Hill Road
Sangerville, ME 04479

Phone

(207) 564-3115

Fax

(207) 564-0019

NPI assigned

Jul 15, 2009

Last updated

Jul 15, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Two Rivers Child Development Services

  • Speech-Language Pathologist
  • Dover Foxcroft, ME
  • NPI 1730323205
  NPD (past)

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247616000000",
    "number": "1487884128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 326",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044260326",
            "telephone_number": "207-564-3115",
            "fax_number": "207-564-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1092A DOUTY HILL ROAD",
            "city": "SANGERVILLE",
            "state": "ME",
            "postal_code": "04479",
            "telephone_number": "207-564-3115",
            "fax_number": "207-564-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORSTER",
        "first_name": "BETHANY",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-15",
        "last_updated": "2009-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "ST1689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAINECARE",
            "identifier": "432032999",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Perrin, DPT
• Shelly Roope, ARNP
• Train My Brain Dyslexia and Speech Theapy
• Sierra Valente, NP
• Diana Vandermast, FNP

• Speech-Language Pathologist in Sangerville, ME
• Providers in Sangerville, ME by specialty
• Speech-Language Pathologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; 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.