Bethany I Cunningham, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

127 Village Rd Unit B
Shallotte, NC 28470-4439

Phone

(910) 754-3484

Fax

(910) 754-3485

NPI assigned

Nov 17, 2021

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1841956554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1288",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283591288",
            "telephone_number": "910-671-9629",
            "fax_number": "910-671-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 VILLAGE RD UNIT B",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284704439",
            "telephone_number": "910-754-3484",
            "fax_number": "910-754-3485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "BETHANY",
        "middle_name": "I",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-17",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "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": "7211405",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kbritt@speechsolutionsinc.com",
            "affiliation": "N",
            "address_1": "127 Village Rd Unit B",
            "city": "Shallotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284704439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tia Cornwall, ED.S., LPA
• Garrett Costin
• Kelsey Crist, LCMHCA, CCS, LCAS
• Jennifer Lynn Cully, MSN FNP-C
• Sara Culpepper, MS, LCAS-A
• Taylor Blair Currall, PA-C
• Kimberly M Currie, DPT
• Madison Cyr
• Christopher Adair Damerel
• Luann Damiani-Grochowski, PMHNP-BC

• All providers in Shallotte, NC
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.