Individual provider Active NPI

Jessica Butler, SLP

  • Speech-Language Pathologist
  • Laconia, NH
National Provider Identifier
1811197965
Registry record updated Jul 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
P-380 Issued in NH
Practice address
806 N Main St
Boothby Therapy Services, LLC
Laconia, NH 03246-2603
Phone
(603) 524-4385
Fax
(603) 524-1497
NPI assigned
Jul 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 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 P-380 NH Primary

Addresses

Primary practice location

806 N Main St
Boothby Therapy Services, LLC
Laconia, NH 03246-2603

Mailing address

806 N Main St
Boothby Therapy Services, LLC
Laconia, NH 03246-2603
Phone (603) 524-4385

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
P-380NHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Boothby Therapy Services, LLC 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": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184716800000",
    "number": "1811197965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 N MAIN ST",
            "address_2": "BOOTHBY THERAPY SERVICES, LLC",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032462603",
            "telephone_number": "603-524-4385",
            "fax_number": "603-524-1497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 N MAIN ST",
            "address_2": "BOOTHBY THERAPY SERVICES, LLC",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032462603",
            "telephone_number": "603-524-4385",
            "fax_number": "603-524-1497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "JESSICA",
        "name_prefix": "Miss",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-18",
        "last_updated": "2007-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NH",
            "license": "P-380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laconia, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.