Individual provider Active NPI

Bethany Shea Lankford, M.S.

  • Speech-Language Pathologist
  • Gruver, TX
National Provider Identifier
1871843201
Registry record updated Sep 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
103560 Issued in TX
Practice address
504 4TH Street
Gruver, TX 79040
Phone
(806) 290-4145
NPI assigned
Sep 13, 2012
Last updated
Sep 13, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2012

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 103560 TX Primary

Addresses

Primary practice location

504 4TH Street
Gruver, TX 79040

Mailing address

P.O. Box 1098
Gruver, TX 79040
Phone (806) 290-4145

Other names 1

  • Bethany Shea Ratliff Former name

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 Science

State licenses

LicenseStateTypeSpecialty
103560TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347494400000",
    "number": "1871843201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1098",
            "city": "GRUVER",
            "state": "TX",
            "postal_code": "79040",
            "telephone_number": "806-290-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 4TH STREET",
            "city": "GRUVER",
            "state": "TX",
            "postal_code": "79040",
            "telephone_number": "806-290-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANKFORD",
        "first_name": "BETHANY",
        "middle_name": "SHEA",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-13",
        "last_updated": "2012-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "103560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "RATLIFF",
            "middle_name": "SHEA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gruver, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.