Bethany Marie McMillen, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2018030897 Issued in MO

Practice address

1310 NW Deane St
Pullman, WA 99163-3705

Phone

(509) 332-1566

NPI assigned

Apr 30, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Bethany Marie Slaughter Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1952965303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 SUMMIT RIDGE PL",
            "city": "WELDON SPRING",
            "state": "MO",
            "postal_code": "633040907",
            "telephone_number": "636-699-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 NW DEANE ST",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991633705",
            "telephone_number": "509-332-1566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Wesleyan Blvd",
            "address_purpose": "LOCATION",
            "city": "Rapid City",
            "state": "SD",
            "postal_code": "577029340",
            "country_code": "US",
            "telephone_number": "636-699-5548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMILLEN",
        "first_name": "BETHANY",
        "middle_name": "MARIE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-30",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "60920416",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2018030897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "SLAUGHTER",
            "middle_name": "MARIE",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Keira Reid McDonnell
• Travis R McGoff, L.M.P
• Marianne T McGreevy
• John S. McInturff, DDS
• Deaneal Paul McKnight, MS
• Sarah McNare, RC
• Vinod Chimanlal Mehta, MD
• Melanie Whetstine PHD LLC
• Taylor Ashley Menard
• Amy Meredith, PH.D., CCC/SLP

• Occupational Therapist in Pullman, WA
• Providers in Pullman, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; 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.