Bethann Jeswald Walters, MA, CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

009675-1 Issued in NY

Practice address

7476 Back Creek Rd
Hamburg, NY 14075-7202

Phone

(716) 646-3240

NPI assigned

Jun 12, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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 and National Provider Directory roles.

• Hamburg Central Schools

  • Speech-Language Pathologist
  • Hamburg, NY
  • NPI 1033495304
  NPD (past) Authorized official

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402531200000",
    "number": "1629482245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 PLEASANT AVE",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140754840",
            "telephone_number": "716-863-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7476 BACK CREEK RD",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140757202",
            "telephone_number": "716-646-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "BETHANN",
        "middle_name": "JESWALD",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-12",
        "last_updated": "2014-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "009675-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara M Wagner, RN
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Walgreen Co
• Dawn Marie Walker, LCSW-R
• Sandra J Walters, RPH
• Cynthia Marie Ward-Myers
• Michelle Warner, RPAC
• Michelle Warren, LMT
• Kimberly Ann Waryk, REGISTERED NURSE

• Speech-Language Pathologist in Hamburg, NY
• Providers in Hamburg, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; 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.