Individual provider Active NPI

Sandra Brown Buttersworth, CCC-SLP

  • Speech-Language Pathologist
  • Mooresville, NC
National Provider Identifier
1801084165
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7885 Issued in NC
Practice address
510 Carpenter Ave
C/O Speakability, Inc.
Mooresville, NC 28115-2512
Phone
(704) 663-2115
NPI assigned
Oct 11, 2007
Last updated
Oct 11, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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 7885 NC Primary

Addresses

Primary practice location

510 Carpenter Ave
C/O Speakability, Inc.
Mooresville, NC 28115-2512

Mailing address

510 Carpenter Ave
C/O Speakability, Inc.
Mooresville, NC 28115-2512
Phone (704) 663-2115

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
7885NCMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Speakability, Inc. Speech-Language Pathologist 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, 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": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1801084165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 CARPENTER AVE",
            "address_2": "C/O SPEAKABILITY, INC.",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281152512",
            "telephone_number": "704-663-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 CARPENTER AVE",
            "address_2": "C/O SPEAKABILITY, INC.",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281152512",
            "telephone_number": "704-663-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTERSWORTH",
        "first_name": "SANDRA",
        "middle_name": "BROWN",
        "name_prefix": "Ms.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "7885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.