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).
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 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
Street Address |
311 W LINCOLN ST SUITE 100 |
City | BELLEVILLE |
State | IL |
Zip Code | 62220-1902 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 62220 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
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 |
Find all providers in BELLEVILLE |
City | BELLEVILLE |
Zip Code | 62220 |
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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.