Bethany Lynn Kipping, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146011380 Issued in IL

Practice address

400 S Charles St
Belleville, IL 62220-2243

Phone

(618) 277-2017

NPI assigned

Jan 18, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1263772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1487985370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S CHARLES ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622202243",
            "telephone_number": "186-277-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S CHARLES ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622202243",
            "telephone_number": "618-277-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIPPING",
        "first_name": "BETHANY",
        "middle_name": "LYNN",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-18",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146011380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duk Chin Kim, M.D.
• Kimberly Akins-Mumphard
• Shariya Kimbrough
• Vickie Jo Kimmel
• Stephanie Kippenberger, LCSW
• Meaghan Kipping, PT, DPT
• Brenda Kirk
• Megan Nicole Kirk, LCPC
• Deborah Kirsch, SLP
• Kristina Klaverkamp, MSPA

• Speech-Language Pathologist in Belleville, IL
• Providers in Belleville, IL by specialty
• Speech-Language Pathologist in Illinois

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