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Bethany Self , MS, CCC-SLP

Speech-Language Pathologist β€’ Cheyenne, WY

Active NPI 1740972652 Individual Practitioner Female Practitioner
Practice location in NPPES

1215 E Fox Farm Rd
Cheyenne, WY 820072556

Call 3077635587 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1215 E Fox Farm Rd

Cheyenne, WY 820072556

Telephone 3077635587

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Cheyenne and Wyoming

44 active clinicians are listed under Speech-Language Pathologist with a practice address in Cheyenne, WY (330 in Wyoming).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Cheyenne

0% of these 44 clinicians have the CMS telehealth indicator.

4.5% of these 44 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-05-29
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES CO SLP.0005100

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES WY SP-1270

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Wyoming State Medical Licensing Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location October 08, 2023

Registered at 1215 E FOX FARM RD, CHEYENNE, WY 820072556 (Tel: 3077635587)

πŸ“
Updated Business Mailing Address October 08, 2023

Registered at 309 SYCAMORE AVE, EATON, CO 806159069

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2023

Speech-Language Pathologist (license number reported to NPPES: WY SP-1270)

βœ…
NPI Profile Active May 22, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 22, 2023

Registered at 1671 GERONIMO RD, CHEYENNE, WY 820097510 (Tel: 3077635587)

πŸ“
Business Mailing Address (Initial Record) May 22, 2023

Registered at 420 CHERRY AVE, EATON, CO 806153674

πŸ‘€
Provider Name / Credentials (Initial Record) May 22, 2023

Recorded as BETHANY SELF, M.S., CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2023

Speech-Language Pathologist (license number reported to NPPES: CO SLP.0005100)

🟒
Initial NPI Registration & Enumeration May 22, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1740972652
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2023
Last Update: October 08, 2023
Sole Proprietor: No

Mailing Address

309 Sycamore Ave

Eaton, CO 806159069

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.