Individual provider Active NPI

Bette Ann Smith, SLP

  • Speech-Language Pathologist
  • Corsicana, TX
National Provider Identifier
1710025986
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2004002164 Issued in MO
Practice address
3728 S Hwy 287
Corsicana, TX 75109-8960
Phone
(903) 874-6315
Fax
(903) 874-6387
NPI assigned
Feb 1, 2007
Last updated
Oct 3, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2004002164 MO Primary
Speech-Language Pathologist 235Z00000X SA 10388 FL
Speech-Language Pathologist 235Z00000X 108129 TX
Speech-Language Pathologist 235Z00000X 018139-1 NY
Speech-Language Pathologist 235Z00000X SL009240 PA

Addresses

Primary practice location

3728 S Hwy 287
Corsicana, TX 75109-8960

Mailing address

3728 S Hwy 287
Corsicana, TX 75109-8960
Phone (417) 214-4713

Other names 1

  • Bette Smith Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161216001182 NY Practitioner - Qualified Speech Language Pathologist 4385924919 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartshare Wellness LTDGroup PAC ID 8921992967, 11 clinicians

Practice addresses (Care Compare)

177 Livingston St
Lowr Level
Brooklyn, NY 11201-7000
Phone 71879720208015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
018139-1NYMDPsychologist
018139NYMDPhysical Therapist
SA 10388FLMDSpeech-Language Pathologist
2004002164MOMDSpeech-Language Pathologist
SL009240PAMDSpeech-Language Pathologist
108129TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Block Institute, Inc. CurrentSince Nov 6, 2016 Accepting new patients

Locations

2214 Stillwell Ave
Brooklyn, NY 11223
Phone (718) 372-7227

376 Bay 44th St
Brooklyn, NY 11214
Phone (718) 906-5400

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380758400000",
    "number": "1710025986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3728 S HWY 287",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751098960",
            "telephone_number": "417-214-4713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3728 S HWY 287",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751098960",
            "telephone_number": "903-874-6315",
            "fax_number": "903-874-6387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BETTE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2013-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2004002164",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 10388",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "108129",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "018139-1",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL009240",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETTE",
            "last_name": "SMITH",
            "credential": "MS CCC/SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Corsicana, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.