DELORES BUTTS (NPI# 1295273563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295273563 |
| Entity Type | Individual |
| Full Name | DELORES BUTTS |
| Practice Address |
21132 E 640 Rd Tahlequah OK 74464-8775 |
| Practice Telephone | 9184564053 |
| Mailing Telephone | 9184564053 |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2017-02-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Street Address |
21132 E 640 RD |
| City | TAHLEQUAH |
| State | OK |
| Zip Code | 74464-8775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669546289 | Lowrey Public School | Local Education Agency (LEA) | 21132 E 640 Rd, Tahlequah, OK 74464-8775 | 2006-11-17 |
| 1720507361 | Sarah Deardeuff | Technician | 21132 E 640 Rd, Tahlequah, OK 74464-8775 | 2017-09-14 |
| 1285003863 | Tina Mckie | Counselor | 21132 E 640 Rd, Tahlequah, OK 74464-8775 | 2015-09-24 |
| 1770951782 | Kristen Jones | Technician | 21132 E 640 Rd, Tahlequah, OK 74464-8775 | 2015-09-08 |
| 1669849220 | Kelly Huntley | Contractor | 21132 E 640 Rd, Tahlequah, OK 74464-8775 | 2015-08-28 |
| 1437526217 | Kathy Lay | Counselor | 21132 E 640 Rd, Tahlequah, OK 74464-8775 | 2015-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184253403 | Kendall Harris | Student in an Organized Health Care Education/Training Program | 100 Bliss Ave, Tahlequah, OK 74464 | 2020-04-07 |
| 1528609302 | Norma Brightly | Technician | 103 Sequoyah, Tahlequah, OK 74464 | 2019-10-03 |
| 1073175832 | Jody Lynn Dallis | Case Manager/Care Coordinator | Tenkiller Behavioral Services, 27753 S. Welling Rd, Welling, OK 74464 | 2019-07-02 |
| 1184287849 | Perry Jake Proctor | Student in an Organized Health Care Education/Training Program | 1400 E Downing St, Tahlequah, Ok 74464, Tahlequah, OK 74464 | 2019-04-18 |
| 1336657279 | Sidney Sheyenne Kimble | Case Manager/Care Coordinator | 1429 Jack Brown Lane, Tahlequah, OK 74464 | 2018-01-12 |
| 1891225686 | Nichols Bradley Alberty | Orthotist | 1294 East Downing, Suite 3, Tahlequah, OK 74464 | 2017-06-14 |
| 1922549690 | Krystal Easter Ms, Lpc | Counselor | 2201 Oakridge Dr, Tahlequah, OK 74464 | 2017-03-15 |
| 1144777319 | Northeastern Oklahoma Community Health Centers, Inc. | Clinic/Center | 529 N. Oak St., Tahlequah, OK 74464 | 2016-09-06 |
| 1548713456 | Clement Isioma Nwadozi | Optometrist | 3763 Southridge Cir Apt 6, Tahlequah, OK 74464 | 2016-07-27 |
| 1033532635 | Wesley Gragg | Specialist/Technologist | 603 North Grand Avenue, Tahlequah, OK 74464 | 2014-02-03 |
| Find all providers in zip 74464 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700354230 | Victoria Tye | Technician | 601 S Cedar St, Tahlequah, OK 74464-5152 | 2018-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091209 | Heather Inelia Massie | Technician | 1117 Cedar Canyon Dr, Chandler, OK 74834-9005 | 2020-10-17 |
| 1669015160 | Tamra Fitzer | Technician | 21444 East North Railroad St., Howe, OK 74940 | 2019-10-28 |
| 1356983324 | Jessica Ann Jarvis | Technician | Stilwell Public School, 520 W. Division St., Stilwell, OK 74960 | 2019-10-11 |
| 1235785494 | Patrick Home Care, LLC | Technician | 8988 S Sheridan Rd Ste C, Tulsa, OK 74133-5035 | 2019-08-14 |
| 1881247070 | Charline A White | Technician | 10113 S Hillcrest Dr, Oklahoma City, OK 73159-7511 | 2019-07-17 |
| 1851855266 | Mona Jane Elliott | Technician | 301 N Oklahoma Ave, Mangum, OK 73554-3009 | 2019-01-30 |
| 1467925073 | Charlotte Renae Smith | Technician | 21444 E N Railroad, Howe, OK 74940 | 2019-01-07 |
| 1205306024 | Regina Dilli | Technician | 401 N Oklahoma Ave, Mangum, OK 73554-3000 | 2018-12-05 |
| 1992274518 | Sally Lim | Technician | 1212 E Poplar St Apt 20, Fort Gibson, OK 74434-8375 | 2018-11-14 |
| 1265900849 | Johnice Nunley | Technician | 4982 W 797 Rd, Fort Gibson, OK 74434-7204 | 2018-11-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.