KIMBERLY SUE BUTLER (NPI# 1578934535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578934535 |
Entity Type | Individual |
Full Name | KIMBERLY SUE BUTLER |
Other Name | KIMBERLY SUE DONOVAN |
Credential | N.P. |
Practice Address |
339 Sw Century Dr Ste 101 Bend OR 97702-1199 |
Mailing Address |
Po Box 1115 Bend OR 97709-1115 |
Practice Telephone | 5413821395 |
Practice Fax Number | 5413826576 |
Mailing Telephone | 5413821395 |
Mailing Fax Number | 5413826576 |
Enumeration Date | 2015-10-15 |
Last Update Date | 2018-04-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
201507448NPPP | OR | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780205146 | Kimberly Ann Butler | Occupational Therapist | 11851 Heron Lake Rd, Saint John, IN 46373-9059 | 2020-04-27 |
1972942845 | Kimberly Butler | Doula | 4413 S Kirkman Rd, #212, Orlando, FL 32811-2869 | 2013-06-24 |
1245386390 | Kimberly A Butler | Physical Therapist | 526 Eastern Bypass, Cornerstone Physical Therapy, Richmond, KY 40475 | 2007-01-25 |
1962592675 | Kimberly Butler | Counselor | 55 Westchester Sq # 62, Bronx, NY 10461-3525 | 2006-10-13 |
1528570025 | Kimberly Butler | Social Worker | 799 S Main St, Lima, OH 45804-1519 | 2017-10-25 |
1225485402 | Kimberly Jeanbe Butler | Dentist | 2838 Summit St, Oakland, CA 94609-3605 | 2016-05-18 |
1598110843 | Kimberly Butler | Social Worker | 701 E 2nd Ave Sw, Rome, GA 30161-6148 | 2016-04-24 |
1437515020 | Kimberly Smoak Butler | Registered Nurse | 222 Beaufort St Ne, Aiken, SC 29801-4476 | 2016-01-12 |
1770982902 | Kimberly Rome Butler | Counselor | 2372 Saint Claude Ave, Suite 300, New Orleans, LA 70117-8351 | 2014-08-13 |
1164851937 | Kimberly Butler | Student in an Organized Health Care Education/Training Program | 2500 Alhambra Ave, Martinez, CA 94553-3156 | 2013-11-02 |
Street Address |
339 SW CENTURY DR STE 101 |
City | BEND |
State | OR |
Zip Code | 97702-1199 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629676259 | Amy Michelle Anderson | Counselor | 233 Sw Wilson Ave, Ste 201, Bend, OR 97702 | 2020-10-15 |
1386259463 | Jacob Rehder | Counselor | 19717 Mt Batchelor Dr, #226, Bend, OR 97702 | 2020-09-15 |
1497385215 | Capacity Performance Therapy | Physical Medicine & Rehabilitation | 61125 Lodgepole Dr., Bend, OR 97702 | 2020-01-21 |
1962041707 | Shift Bend Functional Medicine | Family Medicine | 151 Sw Shevlin Hicks Dr, Suite #1, Bend, OR 97702 | 2019-12-26 |
1609435049 | Praxis Medical Group Inc | Orthopaedic Surgery | 1140 Sw Simpson Avenue, Suite 100, Bend, OR 97702 | 2019-06-10 |
1013485754 | Elana Leah Pesah | Social Worker | 138 Maaglei Harim Levin, Jerusalem, ISRAEL 97702 | 2018-11-12 |
1104303239 | Kyleigh Mcvey | Massage Therapist | 999 Sw Disk Dr, Bend, OR 97702 | 2018-07-21 |
1477042869 | Siloe Castaneda Huerta | Counselor | 1340 Nw Wall, Bend, Or, Bend, OR 97702 | 2018-05-02 |
1164910808 | Rebecca M Joyce | Social Worker | 1011 Sw Emkay Dr. Suite 101, Bend, OR 97702 | 2018-04-27 |
1093217978 | Jennifer Bury | Acupuncturist | 296 Sw Columbia St Ste D1, Bend, OR 97702 | 2018-03-06 |
Find all providers in zip 97702 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528317898 | Kara Lynn Kelly | Nurse Practitioner | 339 Sw Century Dr, Suite 101, Bend, OR 97702-1198 | 2012-09-02 |
1114273711 | Deborah Macwilliams | Nurse Practitioner | 731 Nw Franklin Ave Ste 104, Bend, OR 97703 | 2012-08-01 |
1801122668 | Kay Oliver | Nurse Practitioner | 1010 Nw Harriman St, Suite A, Bend, OR 97701-1912 | 2009-10-28 |
1699906305 | Kristin Brooks | Nurse Practitioner | 336 Ne Norton Ave. Ste. 3, Bend, OR 97701-3598 | 2009-07-29 |
1003071499 | Nicholas J Campo IIi | Nurse Practitioner | 233 Sw Wilson Ave Ste 201, Bend, OR 97702-2988 | 2008-07-24 |
1922180777 | Deborah Padgett Coehlo | Nurse Practitioner | 62930 O B Riley Rd Ste 300, Bend, OR 97703-9459 | 2006-10-20 |
1033718242 | Hagen Psychiatry LLC | Nurse Practitioner | 2955 N Highway 97 Ste 100, Bend, OR 97703-7559 | 2020-10-19 |
1235766510 | Richard Dean Akers | Nurse Practitioner | 2577 Ne Courtney Dr, Bend, OR 97701-7752 | 2020-03-25 |
1952854481 | Kara Kelly, LLC | Nurse Practitioner | 2955 N Hwy 97, Suite 102, Bend, OR 97703-7559 | 2016-08-02 |
1386091734 | Bridget Knight | Nurse Practitioner | 2577 Ne Courtney Dr, Bend, OR 97701-7638 | 2016-05-16 |
Find all providers in BEND |
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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.