Active NPI
Danelle H Betancourt, MS. CCC-SLP
- Speech-Language Pathologist
- Henderson, NC
National Provider Identifier
1043470784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4417
- Practice address
- 2275 Ruin Creek Rd
Henderson, NC 27537-8732 - Phone
- (252) 438-1777
- NPI assigned
- Jun 16, 2008
- Last updated
- Jun 16, 2008
- 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 | 4417 | NC | Primary |
Addresses
Primary practice location
2275 Ruin Creek Rd
Henderson, NC 27537-8732
Mailing address
6100 Tiffield Way
Wake Forest, NC 27587-4299
Phone (919) 453-2615
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4417 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213574400000",
"number": "1043470784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6100 TIFFIELD WAY",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275874299",
"telephone_number": "919-453-2615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2275 RUIN CREEK RD",
"city": "HENDERSON",
"state": "NC",
"postal_code": "275378732",
"telephone_number": "252-438-1777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETANCOURT",
"first_name": "DANELLE",
"middle_name": "H",
"credential": "MS. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-16",
"last_updated": "2008-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "4417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NC
- Believer in You, LLC
- Benjamin Koren, D.D.S. II. P.a, (Henderson Family Dentistry)
- Mazda Berenjian, D.D.S.
- Best Care IV Services (Optioncare)
- Best Care of Henderson LLC (Best Care Pharmacy)
- Brianna Jayne Betker, M.S. ED.,BCBA
- Beyond Challenges Community Services LLC
- Krishna Reddy Bhaghayath, M.D.
- Jessica Colleen Garcia Bitencourt, D.O.
- Sheila Anita Bizune, PHARM.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.