MALLORY ANN BUTLER


Address: 311 W Lincoln St, Suite 100, Belleville, IL 62220-1902
Phone: 6182333661

MALLORY ANN BUTLER (NPI# 1467803049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467803049
Entity Type Individual
Full Name MALLORY ANN BUTLER
Other Name MALLORY LEVERY
Credential NP-C
Practice Address 311 W Lincoln St
Suite 100
Belleville
IL 62220-1902
Mailing Address 219 Suburban Dr
Smithton
IL 62285-3052
Practice Telephone 6182333661
Practice Fax Number 6182330992
Mailing Telephone 6184438341
Enumeration Date 2016-06-24
Last Update Date 2019-06-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LF0000X Nurse Practitioner
Specialization: Family
2016018336 MO Physician Assistants & Advanced Practice Nursing Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
209014336 IL Physician Assistants & Advanced Practice Nursing Providers

Other Providers MALLORY BUTLER

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1730663170 Mallory Butler Counselor 111 Edgartown Road, Oak Bluffs, MA 02557 2018-09-21
1124519145 Mallory Lynn Butler Speech-Language Pathologist 6867 Southpoint Dr N, Jacksonville, FL 32216-8043 2018-05-24

Office Location

Street Address 311 W LINCOLN ST
SUITE 100
City BELLEVILLE
State IL
Zip Code 62220-1902

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376530949 John J Boeren General Practice 311 W Lincoln St, Suite 300, Belleville, IL 62220-1902 2005-09-29
1770042111 Ahmed 15 LLC Clinic/Center 311 W Lincoln St, Belleville, IL 62220-1902 2019-03-15
1275933756 Belleville Surgical Center Ltd Clinic/Center 311 W Lincoln St, Suite 300, Belleville, IL 62220-1902 2014-09-03
1356760946 Metro East Anesthesia LLC Nurse Anesthetist, Certified Registered 311 W Lincoln St, Ste 101, Belleville, IL 62220-1902 2014-04-10
1700218146 Belleville Endoscopy Anesthesia Anesthesiology 311 W Lincoln St, Suite 100, Belleville, IL 62220-1902 2013-08-08
1851735450 Mark S. Feldman, M.d. P.C. Specialist 311 W Lincoln St, Suite 100, Belleville, IL 62220-1902 2013-04-25
1497026686 Belleville Endoscopy Specialist 311 W Lincoln St, Suite 100, Belleville, IL 62220-1902 2012-01-19
1770893919 Robert Hellman Md. LLC Anesthesiology 311 W Lincoln St, Suite 300, Belleville, IL 62220-1902 2010-10-20
1215198973 Cheryl L Kulik Nurse Anesthetist, Certified Registered 311 W Lincoln St, Ste 101, Belleville, IL 62220-1902 2008-06-24
1821210287 Walter R. Glauber Registered Nurse 311 W Lincoln St, Ste 201, Belleville, IL 62263-1902 2007-05-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144729716 St. Elizabeth's Hospital of The Hospital Sisters of The Third Order Of Clinic/Center 180 South Third Street Suite 101, Belleville, IL 62220 2018-02-08
1437675535 Prorehab PC Occupational Therapist 1915 Carlyle Ave, Ste D, Belleville, IL 62220 2017-08-21
1629527650 Arika Forrest Nurse Practitioner 140 Iowa Ave, Belleville, IL 62220 2016-10-03
1861861403 Belleville Endoscopy LLC Internal Medicine 311 West Lincoln St, Suite 101, Belleville, IL 62220 2015-09-24
1962871558 Antony Frierdich Specialist/Technologist 22 South 13th Street, Belleville, IL 62220 2015-09-24
1588032858 Dana Wright Pharmacist 211 South Thrid Street, Belleville, IL 62220 2015-09-03
1629208731 Lisa Marlow Johnson Developmental Therapist 34 Fenwood Dr, Belleville, IL 62220 2009-07-23
1841361623 Neurological Surgery of Belleville Neurological Surgery 340 West Lincoln Street, Suite 540, Belleville, IL 62220 2006-11-13
1689769119 Kathy Jo Corn Counselor 521 W. Main, Suite 201 B, Belleville, IL 62220 2006-10-03
1780609578 Southern Illinois Health Care Foundation, Inc. Counselor 180 S 3rd St Ste 103&104, Belleville, IL 62220 2006-07-13
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457958753 Rita K Asiedu Nurse Practitioner 55 Washington Ave, Belleville, NJ 07109-2931 2020-10-08
1619590205 Katelyn Rhea Coleman Nurse Practitioner 4600 Memorial Dr Ste 220, Belleville, IL 62226-5363 2020-05-18
1225663735 Sarah Alleman Nurse Practitioner 3715 Rolling Meadows Dr, Belleville, IL 62221-0406 2020-03-04
1871130005 Roselle Monica Pascual David Nurse Practitioner 511 Franklin Ave Apt B1, Belleville, NJ 07109-1568 2019-12-06
1003325952 Kelsey Beasley Nurse Practitioner 3060 Harvest Meadow Dr, Belleville, IL 62221-7044 2017-09-22
1629527650 Arika Forrest Nurse Practitioner 140 Iowa Ave, Belleville, IL 62220 2016-10-03
1366806838 Kiley Faires Nurse Practitioner 4600 Memorial Drive Ste 360, Belleville, IL 62226 2016-04-11
1518328624 Crystal Stone Nurse Practitioner 100 N Jackson St Ste B, Belleville, IL 62220-1455 2016-03-16
1497181333 Brittany Murry Nurse Practitioner 180 S 3rd St Ste 103, Belleville, IL 62220-1952 2013-09-24
1477893105 Susan Lynne Bushinski Nurse Practitioner 44697 Greenbriar Dr, Belleville, MI 48111-5162 2013-02-16
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Competitor

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City BELLEVILLE
Zip Code 62220

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Dataset Information

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.

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