IndividualActive
Bethany Walker, MS, CCC-SLP
NPI 1376794909 · Speech-Language Pathologist · Saint Augustine, FL
Provider details
- NPI number
- 1376794909
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- MS, CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- License
- SA9596 (FL)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Speech, Language and Hearing Service Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
41 Midway Park Dr
Saint Augustine, FL 32084-6632
Phone: (904) 477-3920
Street-level locationGet directions
Mailing address
41 Midway Park Dr
Saint Augustine, FL 32084-6632
Registry dates
- Enumerated
- 2008-10-01
- Last updated
- 2022-10-18
- Certified
- 2022-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.