Active NPI
Beth Updegrove, M.S. CCC-SLP
- Speech-Language Pathologist
- Port Matilda, PA
National Provider Identifier
1992121800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL007974
- Practice address
- 182 Garret Way
Port Matilda, PA 16870-7047 - Phone
- (814) 880-7809
- NPI assigned
- Mar 16, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL007974 | PA | Primary |
Addresses
Primary practice location
182 Garret Way
Port Matilda, PA 16870-7047
Mailing address
182 Garret Way
Port Matilda, PA 16870-7047
Phone (814) 880-7809
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
| License | State | Type | Specialty |
|---|---|---|---|
| SL007974 | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394928000000",
"number": "1992121800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "182 GARRET WAY",
"city": "PORT MATILDA",
"state": "PA",
"postal_code": "168707047",
"telephone_number": "814-880-7809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "182 GARRET WAY",
"city": "PORT MATILDA",
"state": "PA",
"postal_code": "168707047",
"telephone_number": "814-880-7809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UPDEGROVE",
"first_name": "BETH",
"name_prefix": "Mrs.",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-16",
"last_updated": "2014-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL007974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Matilda, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.