Darla K. Bethke, CCC-SP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP5328 Issued in CA

Practice address

1301 W Providence Ave
Orange, CA 92868-3808

Phone

(714) 639-4990

NPI assigned

Mar 20, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363737600000",
    "number": "1619219490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22706 ISLAMARE LN",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926303634",
            "telephone_number": "949-859-8158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W PROVIDENCE AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683808",
            "telephone_number": "714-639-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETHKE",
        "first_name": "DARLA",
        "middle_name": "K.",
        "credential": "CCC-SP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP5328",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "956154473",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dallas McKinley Bessette, CRNA
• Sandy Le Bessette, CRNA
• Corliss Ann Elizabeth Best, MD
• Jacqueline Betancourt
• Jose De Jesus Betancourt
• Pavly Betros
• Cecilia Marina Bettencourt, DC
• Better Solutions Enterprises, Inc.
• Christine Marie Betzold, FNP
• Ellie Beu, ACSW

• Speech-Language Pathologist in Orange, CA
• Providers in Orange, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; 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.