Individual provider Active NPI

Bethany Ferrell

  • Speech-Language Assistant
  • East Prairie, MO
National Provider Identifier
1992669204
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
Practice address
210 E Washington St
East Prairie, MO 63845-1630
Phone
(573) 649-9368
NPI assigned
Dec 11, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X MO Primary

Addresses

Primary practice location

210 E Washington St
East Prairie, MO 63845-1630

Mailing address

210 E Washington St
East Prairie, MO 63845-1630
Phone (573) 649-9368

Other practice location 1

308 East Walnut Street.
East Prairie, MO 63845
Phone (573) 649-9368

Other practice location 2

510 Wilkinson St
East Prairie, MO 63845-1700
Phone (573) 649-9368

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

NPI Registry JSON

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

{
    "created_epoch": "1765411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1992669204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E WASHINGTON ST",
            "city": "EAST PRAIRIE",
            "state": "MO",
            "postal_code": "638451630",
            "telephone_number": "573-649-9368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E WASHINGTON ST",
            "city": "EAST PRAIRIE",
            "state": "MO",
            "postal_code": "638451630",
            "telephone_number": "573-649-9368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "308 East Walnut Street.",
            "address_purpose": "LOCATION",
            "city": "East Prairie",
            "state": "MO",
            "postal_code": "63845",
            "country_code": "US",
            "telephone_number": "573-649-9368",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 Wilkinson St",
            "address_purpose": "LOCATION",
            "city": "East Prairie",
            "state": "MO",
            "postal_code": "638451700",
            "country_code": "US",
            "telephone_number": "573-649-9368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERRELL",
        "first_name": "BETHANY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-11",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Prairie, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.