JASON MICHAEL BUTLER (NPI# 1417467168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417467168 |
| Entity Type | Individual |
| Full Name | JASON MICHAEL BUTLER |
| Credential | NP |
| Practice Address |
129 Center St Ste B Richland MS 39218-4800 |
| Mailing Address |
314 Cypress Creek Rd Brandon MS 39047-7989 |
| Practice Telephone | 7692337141 |
| Mailing Telephone | 6014211128 |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2017-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
902078 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
902078 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477535656 | Jason E. Butler | Social Worker | 37 Young Rd, Barrington, NH 03825-3316 | 2005-11-15 |
| 1023350899 | Jason N Butler | Emergency Medicine | 650 Huebner Rd, Fort Riley, KS 66442-4030 | 2013-03-20 |
| 1639440316 | Jason N Butler | Nurse Anesthetist, Certified Registered | 1225 N State St, Jackson, MS 39202-2064 | 2012-01-26 |
| 1639471865 | Jason Guy Butler | Social Worker | 34 Old Brevard Rd, Asheville, NC 28806-0012 | 2010-11-19 |
| 1467689893 | Jason Allen Butler | Psychologist | 1802 California St, Eureka, CA 95501-2808 | 2009-06-11 |
| 1790930790 | Jason Winfield Butler | Dentist | 2900 Croasdaile Dr, Suite #5, Durham, NC 27705-2579 | 2008-11-19 |
| 1710142484 | Jason Robert Butler | Family Medicine | 2001 Se Green Oaks Blvd, Suite 130, Arlington, TX 76018-0951 | 2008-07-22 |
| 1417073297 | Jason D. Butler | Nurse Practitioner | 1 Southtowne Dr, Potosi, MO 63664-5729 | 2007-03-22 |
| 1477528826 | Jason Edward Butler | Nurse Anesthetist, Certified Registered | 380 Hospital Dr., Suite 410, Macon, GA 30317-8014 | 2006-02-21 |
| Street Address |
129 CENTER ST STE B |
| City | RICHLAND |
| State | MS |
| Zip Code | 39218-4800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295353290 | Ashley Smith Allen | Nurse Practitioner | Rankin Rural Medical Center, 129 Center Street Suite B, Richland, MS 39218 | 2020-07-07 |
| 1346590460 | Medical Systems Management LLC | Clinic/Center | 120 Sarborough St, Suite A, Richland, MS 39218 | 2012-09-17 |
| 1487801338 | Teresa Polk | Family Medicine | 811 Highway 49 South, Richland, MS 39218 | 2008-08-22 |
| 1629238530 | Recovercare, LLC | Durable Medical Equipment & Medical Supplies | 181 Davis Johnson Dr., Suite G, Richland, MS 39218 | 2008-06-13 |
| 1710177688 | Wiley Vision Care LLC | Optometrist | 200 Market Place Dr, Richland, MS 39218 | 2007-07-27 |
| 1821292731 | Tara Pharmacy | Pharmacy | 110 Metroplex Blvd, Suite H, Pearl, MS 39218 | 2007-06-13 |
| 1881797439 | Don A Gibson | Family Medicine | 811 Hwy 49 South, Richland, MS 39218 | 2006-09-07 |
| 1912914516 | Renalab Inc | Clinical Medical Laboratory | 197 Interstate Drive, Suite G, Richland, MS 39218 | 2006-08-03 |
| 1730667403 | Kasey Ray Hinton | Physical Therapist | 1201 Highway 49 S Ste 2, Richland, MS 39218 | 2018-08-03 |
| 1033693866 | Melodie Carol Brown | Nurse Practitioner | 1201 U.S. 49, Suite 1, Richland, MS 39218-3921 | 2018-09-18 |
| Find all providers in zip 39218 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841852043 | Mariana S Neeway | Nurse Practitioner | 112 Columbia Point Dr Ste 101, Richland, WA 99352-4390 | 2019-07-08 |
| 1023575172 | Amber Elexis Marsh | Nurse Practitioner | 1100 Goethals Dr Ste E2nd, Richland, WA 99352-3300 | 2019-02-25 |
| 1861631384 | Robert A Pleyo | Nurse Practitioner | 900 Stevens Dr Ste 101, Richland, WA 99352 | 2009-02-05 |
| 1124529565 | Alexis M. Firman | Nurse Practitioner | 888 Swift Blvd, Richland, WA 99352-3514 | 2018-02-21 |
| 1548622509 | April Valdez | Nurse Practitioner | 1100 Goethals Dr, Suite F, Richland, WA 99352-3300 | 2016-03-28 |
| 1164893921 | Angela Slater | Nurse Practitioner | 1201 Highway 49 S, Suite 4, Richland, MS 39218-9425 | 2015-10-19 |
| 1447626593 | Angelia Marie Cayou | Nurse Practitioner | 304 W Washington Ave, Richland, MO 65556-7101 | 2015-08-12 |
| 1588905699 | Tyson A Harris | Nurse Practitioner | 1100 Goethals Drive, Suite B, Richland, WA 99352 | 2013-03-14 |
| 1235485731 | Lora C Bird | Nurse Practitioner | 1100 Goethals Drive, Suite F, Richland, WA 99352 | 2012-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902421746 | Rebecca Mcwhirter | Nurse Practitioner | 1512 Roswell Dr, Jackson, MS 39211-5928 | 2020-06-08 |
| 1548896301 | Rochelle Vanity Cork | Nurse Practitioner | 4635 Us-80, Pearl, MS 39208 | 2020-03-12 |
| 1285287698 | Veronica Lynn Walker | Nurse Practitioner | 180-b Debuys Road, Biloxi, MS 39531 | 2019-07-24 |
| 1104387695 | Chatina Spears Martin | Nurse Practitioner | 308 Melba Hill Dr, Jackson, MS 39209-2833 | 2019-03-27 |
| 1366915886 | Rockell Ann Pearl Singleton | Nurse Practitioner | 6490 U S Highway 49 Apt 277, Hattiesburg, MS 39401-3013 | 2019-01-08 |
| 1326513920 | Jacquelyn Bruner Ray | Nurse Practitioner | 6102 11th Ave, Meridian, MS 39305-1219 | 2018-10-10 |
| 1487162319 | Mary Melvin Smith | Nurse Practitioner | 107 Cannon Run, Canton, MS 39046-8033 | 2018-01-12 |
| 1669987723 | Harmony House Calls LLC | Nurse Practitioner | 5140 Galaxie Dr Ste 105, Jackson, MS 39206 | 2017-12-11 |
| 1780125302 | Debra Brown Willis | Nurse Practitioner | 216 Belle Oak Dr, Brandon, MS 39042-8251 | 2017-03-15 |
| 1366987455 | Chastity Quayondra Sims | Nurse Practitioner | 2597 Old Highway 51 Ne, Wesson, MS 39191-9414 | 2016-12-27 |
| 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.