Active NPI
Beverly Bond
- Speech-Language Pathologist
- Purdy, MO
National Provider Identifier
1730243221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 201 S 3Rd St
Purdy, MO 65734-0248 - Phone
- (417) 442-3216
- NPI assigned
- Dec 20, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
201 S 3Rd St
Purdy, MO 65734-0248
Mailing address
201 S 3Rd St
Purdy, MO 65734-0248
Phone (417) 442-3216
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 466179108 | Medicaid | MO |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 9, 2007.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1730243221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 S 3RD ST",
"city": "PURDY",
"state": "MO",
"postal_code": "657340248",
"telephone_number": "417-442-3216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 S 3RD ST",
"city": "PURDY",
"state": "MO",
"postal_code": "657340248",
"telephone_number": "417-442-3216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOND",
"first_name": "BEVERLY",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-20",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "466179108",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Purdy, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.