Individual provider Active NPI

Dana Beth Butterfoss, CCC-SLP

  • Speech-Language Pathologist
  • Greenville, NC
National Provider Identifier
1598330433
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
14829 Issued in NC
Practice address
300 E Arlington Blvd Ste 2B
Greenville, NC 27858-5024
Phone
(252) 355-5535
Fax
(252) 355-5536
NPI assigned
May 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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 14829 NC Primary

Addresses

Primary practice location

300 E Arlington Blvd Ste 2B
Greenville, NC 27858-5024

Mailing address

PO Box 2417
Winterville, NC 28590-2417
Phone (252) 355-5535

Other practice location 1

852 Perry Rd
Apex, NC 27502-7701
Phone (919) 446-5670

Other practice location 2

1701 Center St
Apex, NC 27502-7026
Phone (984) 246-9080

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address billingdept@venturerehabgroup.com Direct Venture Rehabilitation Group

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

LicenseStateTypeSpecialty
14829NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Rehabilitation and Sports Physical Therapy, PC 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": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1598330433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2417",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285902417",
            "telephone_number": "252-355-5535",
            "fax_number": "252-355-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E ARLINGTON BLVD STE 2B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585024",
            "telephone_number": "252-355-5535",
            "fax_number": "252-355-5536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "852 Perry Rd",
            "address_purpose": "LOCATION",
            "city": "Apex",
            "state": "NC",
            "postal_code": "275027701",
            "country_code": "US",
            "telephone_number": "919-446-5670",
            "fax_number": "919-267-4761",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 Center St",
            "address_purpose": "LOCATION",
            "city": "Apex",
            "state": "NC",
            "postal_code": "275027026",
            "country_code": "US",
            "telephone_number": "984-246-9080",
            "fax_number": "984-464-2242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTTERFOSS",
        "first_name": "DANA",
        "middle_name": "BETH",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "14829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "billingdept@venturerehabgroup.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Venture Rehabilitation Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "300 E Arlington Blvd Ste 2B",
            "city": "Greenville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278585024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.