Active NPI
Bette Ann Smith, SLP
- Speech-Language Pathologist
- Corsicana, TX
National Provider Identifier
1710025986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2004002164
- 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, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 018139-1 | NY | MD | Psychologist |
| 018139 | NY | MD | Physical Therapist |
| SA 10388 | FL | MD | Speech-Language Pathologist |
| 2004002164 | MO | MD | Speech-Language Pathologist |
| SL009240 | PA | MD | Speech-Language Pathologist |
| 108129 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Block Institute, Inc. | Current | 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.
-
- Public Health or Welfare Agency
- Brooklyn, NY
- NPI 1487895371
-
- Developmental Disabilities Clinic/Center
- Brooklyn, NY
- NPI 1386722346
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.