Active NPI
Shannon Noel Dupont
- Developmental Therapist
- Deerfield Beach, FL
National Provider Identifier
1497179535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 500 Fairway Dr. Butterfly Effects LLC
Ste. 102
Deerfield Beach, FL 33441 - Phone
- (888) 880-9270
- NPI assigned
- Feb 10, 2014
- 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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Primary |
Addresses
Primary practice location
500 Fairway Dr. Butterfly Effects LLC
Ste. 102
Deerfield Beach, FL 33441
Mailing address
500 Fairway Dr. Butterfly Effects LLC,
Ste. 102
Deerfield Beach, FL 33441
Phone (888) 880-9270
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": "1391990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391990400000",
"number": "1497179535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 FAIRWAY DR. BUTTERFLY EFFECTS LLC,",
"address_2": "STE. 102",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "33441",
"telephone_number": "888-880-9270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 FAIRWAY DR. BUTTERFLY EFFECTS LLC",
"address_2": "STE. 102",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "33441",
"telephone_number": "888-880-9270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUPONT",
"first_name": "SHANNON",
"middle_name": "NOEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-10",
"last_updated": "2014-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deerfield Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.