BRENNA BUTLER (NPI# 1710458062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710458062 |
| Entity Type | Individual |
| Full Name | BRENNA BUTLER |
| Credential | FNP-C |
| Practice Address |
11855 E Candlewick Ln Prescott Valley AZ 86315-9695 |
| Practice Telephone | 6232563342 |
| Mailing Telephone | 6232563342 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 220060 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11855 E CANDLEWICK LN |
| City | PRESCOTT VALLEY |
| State | AZ |
| Zip Code | 86315-9695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114540960 | Steffainy Jessie Hefley | Physician Assistant | 11025 N. Rowdy Bunch Pass, Prescott Valley, AZ 86315 | 2020-05-27 |
| 1790333003 | Colleen Flora Petullo | Family Medicine | 9695 N. Fiorella St., Prescott Valley, AZ 86315 | 2019-08-29 |
| 1205325198 | Foundation for Healing, LLC | Clinic/Center | 7148 N Sunrise Vis, Prescott Valley, AZ 86315-3039 | 2018-05-07 |
| 1144831728 | Complete Family Care LLC | Home Health | 7361 E Plateau Ridge Rd, Prescott Valley, AZ 86315-3470 | 2020-08-16 |
| 1679796700 | Heather R Tarlow-edwards | Psychologist | 8103 N Winding Trl, Prescott Valley, AZ 86315-4002 | 2007-04-10 |
| 1851381388 | Gayle L Gregory | Psychiatry & Neurology | 15801 E Don Carlos Dr, Prescott Valley, AZ 86315-4109 | 2005-10-26 |
| 1417596594 | Carrie Kinsey | Midwife | 7115 E Whisper Ranch Rd, Prescott Valley, AZ 86315-4742 | 2020-01-06 |
| 1497302475 | Sharon Ann Roberts | Technician | 7260 E Racers Way, Prescott Valley, AZ 86315-4823 | 2019-08-23 |
| 1992837231 | Debra Lee Wallett | Psychologist | 9595 N Paquette Cir, Prescott Valley, AZ 86315-6864 | 2007-03-12 |
| 1003368887 | Virginia Martinez | Counselor | 7776 E Painted Wagon Path, Prescott Valley, AZ 86315-7811 | 2016-10-27 |
| Find all providers in zip 86315 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518095272 | Donna Jean Finnegan | Nurse Practitioner | Hc76 Hwy 89a N Jct 151, Prescott Valley, AZ 86314 | 2007-03-02 |
| 1235153610 | Catherine N Reid-mckee | Nurse Practitioner | 3212 N Windsong Dr Ste 200, Prescott Valley, AZ 86314-2288 | 2006-07-27 |
| 1295256378 | Cheri Ledsome | Nurse Practitioner | 3212 N Windsong Dr Ste 200, Prescott Valley, AZ 86314-2255 | 2017-06-29 |
| 1477917342 | Angela T Price | Nurse Practitioner | 3251 N Windsong Dr, Prescott Valley, AZ 86314 | 2016-04-07 |
| 1558657007 | Melissa S Richey | Nurse Practitioner | 3251 N Windsong Dr, Prescott Valley, AZ 86314-1222 | 2011-06-23 |
| 1801101316 | Sharon Sue Lee | Nurse Practitioner | 7700 E Florentine Rd Ste 202, Prescott Valley, AZ 86314-2245 | 2010-08-10 |
| 1386672012 | Holly Dawn Swensen | Nurse Practitioner | 3188 N Windsong Dr Ste A, Prescott Valley, AZ 86314-1220 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023339 | Flor Avila Fimbres | Nurse Practitioner | 5418 W Placita Del Risco, Tucson, AZ 85745-9550 | 2020-11-04 |
| 1205435781 | April Michelle Power | Nurse Practitioner | 198 S Coronado Dr Ste D, Sierra Vista, AZ 85635-6357 | 2020-10-26 |
| 1861091514 | Restoration Dermatology Lounge LLC | Nurse Practitioner | 8753 E Bell Rd Ste D101, Scottsdale, AZ 85260-1307 | 2020-10-23 |
| 1699374371 | Kelley Brooke Corl | Nurse Practitioner | 872 S Pheasant Dr, Gilbert, AZ 85296-0440 | 2020-10-22 |
| 1225637184 | Amy Chan Matchett | Nurse Practitioner | 2754 W Checkerspot Dr, Tucson, AZ 85741-5255 | 2020-10-21 |
| 1013514348 | Alecia L Brown | Nurse Practitioner | 1099 W Calle Del Libro Dorado, Sahuarita, AZ 85629-8148 | 2020-10-09 |
| 1912504812 | Jason Allen Vincent | Nurse Practitioner | 4970 N Azul Cir, Litchfield Park, AZ 85340-2734 | 2020-10-04 |
| 1376150219 | Whitney Griffin | Nurse Practitioner | 2700 N Hayden Rd Apt 1093, Scottsdale, AZ 85257-1750 | 2020-09-24 |
| 1114539335 | Kimberly Harken | Nurse Practitioner | 2270 S Ridgeview Dr Ste 300, Yuma, AZ 85364-8866 | 2020-08-19 |
| 1558972752 | Iva Tirres | Nurse Practitioner | 11000 N Scottsdale Rd Ste 110, Scottsdale, AZ 85254-6168 | 2020-08-11 |
| Find all providers with the same taxonomy | ||||
| City | PRESCOTT VALLEY |
| Zip Code | 86315 |
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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.