Individual provider Active NPI

Courtney Butler, CCC-SLP

  • Speech-Language Pathologist
  • Hiawatha, IA
National Provider Identifier
1740850379
Registry record updated Jun 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
002152 Issued in IA
Practice address
1717 Boyson Rd
Hiawatha, IA 52233-2313
Phone
(319) 200-2004
Fax
(319) 200-2009
NPI assigned
Jun 27, 2021
Last updated
Jun 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2021

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 002152 IA Primary

Addresses

Primary practice location

1717 Boyson Rd
Hiawatha, IA 52233-2313

Mailing address

1717 Boyson Rd
Hiawatha, IA 52233-2313
Phone (319) 200-2004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250913000480 IA Practitioner - Qualified Speech Language Pathologist 9638672728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

302 S Grand Ave
Hsab 1100
Iowa City, IA 52242-1308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002152IAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
State University of Iowa CurrentSince Aug 20, 2025 Accepting new patients
Proactive Pediatric Therapy, LLC Speech-Language Pathologist CurrentSince Jul 4, 2021 Accepting new patients
State University of Iowa Speech-Language Pathologist CurrentSince Aug 20, 2025 Accepting new patients

Locations

1717 Boyson Rd
Hiawatha, IA 52233
Phone (319) 200-2004

200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-2633

250 Hawkins Dr
Iowa City, IA 52242
Phone (319) 335-8703

302 S Grand Ave
#1100
Iowa City, IA 52242

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1624752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624752000000",
    "number": "1740850379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 BOYSON RD",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522332313",
            "telephone_number": "319-200-2004",
            "fax_number": "319-200-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 BOYSON RD",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522332313",
            "telephone_number": "319-200-2004",
            "fax_number": "319-200-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "COURTNEY",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-27",
        "last_updated": "2021-06-27",
        "certification_date": "2021-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IA",
            "license": "002152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiawatha, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.