Individual provider Active NPI

Stephanie A Butson, M.A., SLPCCC

  • Speech-Language Pathologist
  • Arden Hills, MN
National Provider Identifier
1285906818
Registry record updated Jan 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8698 Issued in MN
Practice address
1260 County Road E W
Arden Hills, MN 55112-3700
Phone
(651) 639-0942
Fax
(651) 639-1718
NPI assigned
Jan 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 8698 MN Primary

Addresses

Primary practice location

1260 County Road E W
Arden Hills, MN 55112-3700

Mailing address

8400 Golden Valley Rd Apt 217
Golden Valley, MN 55427-4459
Phone (612) 518-8508

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
8698MNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Speech and Language Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1285906818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 GOLDEN VALLEY RD APT 217",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274459",
            "telephone_number": "612-518-8508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 COUNTY ROAD E W",
            "city": "ARDEN HILLS",
            "state": "MN",
            "postal_code": "551123700",
            "telephone_number": "651-639-0942",
            "fax_number": "651-639-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTSON",
        "first_name": "STEPHANIE",
        "middle_name": "A",
        "credential": "M.A., SLPCCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-27",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "8698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arden Hills, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.