Organization Active NPI

Butterfly Effects

  • Voluntary or Charitable Agency
  • Charlotte, NC
National Provider Identifier
1912287459
Registry record updated Aug 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
BUTTERFLY EFFECTS
Practice address
1801 Dallas Ave
Charlotte, NC 28205-7905
Phone
(180) 069-2232
Fax
(800) 465-3203
NPI assigned
Aug 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2011

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

Authorized official

Name
Ms. Wanda M
Title
Supervision
Phone
(704) 493-6621

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

1801 Dallas Ave
Charlotte, NC 28205-7905

Mailing address

PO Box 6059
Fargo, ND 58108-6059
Phone (180) 069-2232

Other identifiers 1

IdentifierTypeStateIssuer
948-81-9464-MMedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1314403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314403200000",
    "number": "1912287459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6059",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581086059",
            "telephone_number": "180-069-2232",
            "fax_number": "800-465-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 DALLAS AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282057905",
            "telephone_number": "180-069-2232",
            "fax_number": "800-465-3203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUTTERFLY EFFECTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-27",
        "last_updated": "2011-08-27",
        "status": "A",
        "authorized_official_last_name": "M",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "SUPERVISION",
        "authorized_official_telephone_number": "704-493-6621",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "948-81-9464-M",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2011; 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.