Daneen Bea Bertolino-Eaton, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP-SP-LIC-974 Issued in MT

Practice address

113 Moose Tracks Dr
Roberts, MT 59070

Phone

(406) 425-1042

Fax

(406) 545-2319

NPI assigned

Nov 22, 2011

Last updated

Aug 14, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Daneen Bea Eaton Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Little Bug Feeding, Swallowing, and Speech Therapy LLC

  • Speech-Language Pathologist
  • Roberts, MT
  • NPI 1437705605
  NPD (past) Authorized official

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1871860635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 MOOSE TRACKS DR",
            "city": "ROBERTS",
            "state": "MT",
            "postal_code": "59070",
            "telephone_number": "406-425-1042",
            "fax_number": "406-545-2319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 MOOSE TRACKS DR",
            "city": "ROBERTS",
            "state": "MT",
            "postal_code": "59070",
            "telephone_number": "406-425-1042",
            "fax_number": "406-545-2319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTOLINO-EATON",
        "first_name": "DANEEN",
        "middle_name": "BEA",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-22",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MT",
            "license": "SLP-SP-LIC-974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANEEN",
            "last_name": "EATON",
            "middle_name": "BEA",
            "prefix": "MRS.",
            "credential": "MS, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melissa Bertolino, MASSAGE THERAPY
• Alicia Lynn Crane
• Kyle M Eckman, L.M.T
• Heartland Life, LLC (Heartland Assisted Living)
• Little Bug Feeding, Swallowing, and Speech Therapy LLC

• Speech-Language Pathologist in Roberts, MT
• Providers in Roberts, MT by specialty
• Speech-Language Pathologist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; 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.