Individual provider Active NPI

Bethany G Hieber, MA, CCC-SLP

  • Speech-Language Pathologist
  • Baltimore, MD
National Provider Identifier
1861599078
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA7111 Issued in FL
Practice address
6569 N. Charles Street
Suite 401
Baltimore, MD 21204-5086
Phone
(443) 849-2087
Fax
(443) 849-2656
NPI assigned
Sep 20, 2006
Last updated
Jan 27, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA7111 FL Primary

Addresses

Primary practice location

6569 N. Charles Street
Suite 401
Baltimore, MD 21204-5086

Mailing address

6569 N. Charles Street
Suite 401
Baltimore, MD 21204-5086
Phone (443) 849-2087

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SA7111FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390780800000",
    "number": "1861599078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6569 N. CHARLES STREET",
            "address_2": "SUITE 401",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212045086",
            "telephone_number": "443-849-2087",
            "fax_number": "443-849-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6569 N. CHARLES STREET",
            "address_2": "SUITE 401",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212045086",
            "telephone_number": "443-849-2087",
            "fax_number": "443-849-2656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIEBER",
        "first_name": "BETHANY",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA7111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.