Bethany Pardo, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

60920703 Issued in WA

Practice address

301 Oravetz PL SE
Auburn, WA 98092-8601

Phone

(253) 931-4748

NPI assigned

Dec 21, 2018

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1545350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545350400000",
    "number": "1922570456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2317",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980712317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 ORAVETZ PL SE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980928601",
            "telephone_number": "253-931-4748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARDO",
        "first_name": "BETHANY",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-21",
        "last_updated": "2018-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "60920703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA",
            "identifier": "14154472",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA DEPARTMENT OF HEALTH",
            "identifier": "60920703",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey Tucker Papac, D.D.S.
• Denise Elizabeth Papetti
• Regina Rae Papini
• Alicia Austria Paraiso, ARNP
• Kambiz Parcham-Azad, MD
• Jay Park, DMD
• Ji Yeon Park, PHARMD
• April Marie Parker, LMT
• Audrey Parker
• Sieglinde G Parker

• Speech-Language Pathologist in Auburn, WA
• Providers in Auburn, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; 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.