Betty Lynn Widenhouse

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1716 Issued in NC

Practice address

8800 Buckey CT
Lewisville, NC 27023-7745

Phone

(336) 946-2493

NPI assigned

Feb 21, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Speakeasy Therapy, PLLC

  • Speech-Language Pathologist
  • Lewisville, NC
  • NPI 1194034603
  NPD (past)

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1982359634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7076 ORCHARD PATH DR",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128222",
            "telephone_number": "336-830-9737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 BUCKEY CT",
            "city": "LEWISVILLE",
            "state": "NC",
            "postal_code": "270237745",
            "telephone_number": "336-946-2493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDENHOUSE",
        "first_name": "BETTY",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "1716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Wilson Washburn, MA, LCMHCA
• Mandi Watson, MA, CCC-SLP
• Patrick Paul Welch, PASTORAL COUNSELOR
• Sandra Leigh Wells, RPH
• Kevin Westwood, MS, LAT, ATC
• William Cameron Williams, MD
• Jessica Young, LCMHC-A

• Speech-Language Pathologist in Lewisville, NC
• Providers in Lewisville, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.