TAIRA CORYN BUTLER (NPI# 1760973739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760973739 |
| Entity Type | Individual |
| Full Name | TAIRA CORYN BUTLER |
| Credential | FNP-C |
| Practice Address |
537 Union Ave Grants Pass OR 97527 |
| Mailing Address |
2620 E Barnett Rd Ste H Medford OR 97504-8383 |
| Practice Telephone | 5415072170 |
| Mailing Telephone | 5417894281 |
| Mailing Fax Number | 5417892558 |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2018-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 201142261 | OR | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
20186659 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
537 UNION AVE |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902832652 | Samuel D. Mcreynolds | Physician Assistant | 537 Union Ave, Grants Pass, OR 97527-5543 | 2006-06-24 |
| 1255976197 | Alisha Naomi Zauher | Nurse Practitioner | 537 Union Ave, Grants Pass, OR 97527 | 2019-11-14 |
| 1023575891 | Kristen Clark | Specialist/Technologist | 537 Union Ave, Grants Pass, OR 97527-5543 | 2019-02-27 |
| 1225516537 | Jessie Kristen Hermant | Nurse Practitioner | 537 Union Ave, Grants Pass, OR 97527-5543 | 2018-07-30 |
| 1073041158 | Courtney Marie Wedgeworth | Otolaryngology | 537 Union Ave, Grants Pass, OR 97527-5543 | 2017-06-01 |
| 1073063772 | Beau J Shelton | Physician Assistant | 537 Union Ave, Grants Pass, OR 97527-5543 | 2016-10-06 |
| 1578918546 | Gabrielle Marie Fey | Registered Nurse | 537 Union Ave, Grants Pass, OR 97527-5543 | 2016-04-27 |
| 1093169104 | App Ent | Otolaryngology | 537 Union Ave, Second Floor -2c, Grants Pass, OR 97527-5543 | 2016-04-15 |
| 1811341928 | App Orthopedic Clinic | Orthopaedic Surgery | 537 Union Ave, Second Floor 2a, Grants Pass, OR 97527-5543 | 2016-04-15 |
| 1124472246 | App Urology Clinic | Urology | 537 Union Ave, Second Floor 2b, Grants Pass, OR 97527-5543 | 2016-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528618600 | Sandra J Campos | Technician | 365 Sleepy Hollow Loop, Grants Pass, OR 97527 | 2019-09-19 |
| 1720501026 | Kelly Bates | Massage Therapist | 501 Cheney Creek Rd, Grants Pass, OR 97527 | 2017-07-19 |
| 1740650134 | Sara Brelsford | Nurse Practitioner | 1075 Sw Grandview Avenue, Suite 200, Grants Pass, OR 97527 | 2015-09-29 |
| 1962816348 | Kimberly Hathaway | Counselor | 320 Ramsey Place, Grants Pass, OR 97527 | 2014-06-13 |
| 1801216999 | Christina Ann Marie Schultz | Massage Therapist | 242 Curtis Drive, Grants Pass, OR 97527 | 2014-04-16 |
| 1013343359 | Shaunte Angelique Duron | Counselor | 711 Sw Ramsey Avenue, Grants Pass, OR 97527 | 2013-09-18 |
| 1063848547 | Megan Faye Armstrong | Behavioral Analyst | 715 Ramsey Aveenue, Grants Pass, OR 97527 | 2013-09-17 |
| 1124454608 | Mark Albert Cook | Behavioral Analyst | 1153 Sw Cal Allen Lane, Grants Pass, OR 97527 | 2013-09-17 |
| 1952741969 | Mitchell K Sheeler | Denturist | 1850 Williams Hwy, Grants Pass, OR 97527 | 2013-07-05 |
| 1790038339 | White City Vamc | Clinic/Center | 1877 Williams Highway, Grants Pass, OR 97527 | 2012-10-19 |
| Find all providers in zip 97527 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285101527 | Angela Lynn Potter | Nurse Practitioner | 1536 Rj Dr, Grants Pass, OR 97526-3680 | 2018-10-24 |
| 1184000549 | Southern Oregon Medical Practice LLC | Nurse Practitioner | 824 Unit B, Rogue River Highway, Grants Pass, OR 97527-0000 | 2015-08-07 |
| 1215290101 | Livia Leora Klein | Nurse Practitioner | 1734 Sw Waterstone Dr, Grants Pass, OR 97527-6437 | 2012-06-17 |
| 1295966083 | Medical House Calls By Dan Hughes-fnp LLC | Nurse Practitioner | 1505 Nw Prospect Ave, Grants Pass, OR 97526-1007 | 2009-07-28 |
| 1053483057 | Raymond A Millette | Nurse Practitioner | 1014 Ne 7th St, Grants Pass, OR 97526-1420 | 2006-11-14 |
| 1699864736 | Karen Joyce Hoskins | Nurse Practitioner | 1100 Ne 7th St Ste C, Grants Pass, OR 97526-1415 | 2006-10-12 |
| 1376630673 | Kathleen Anne Johnson | Nurse Practitioner | 1692 Williams Hwy, Grants Pass, OR 97527-1805 | 2006-10-06 |
| 1356355846 | Mason Clarke Harrison | Nurse Practitioner | 1833 Nebraska Ave, Grants Pass, OR 97527-5701 | 2006-07-28 |
| 1891796496 | Kathryn Ruth Desantis | Nurse Practitioner | 1378 Sw David Dr, Grants Pass, OR 97527-6429 | 2005-08-03 |
| 1316560865 | Rachel Jessica Vanderwall | Nurse Practitioner | 741 Ne 6th St, Grants Pass, OR 97526-1556 | 2020-05-19 |
| Find all providers in GRANTS PASS | ||||
| City | GRANTS PASS |
| Zip Code | 97527 |
Please comment or provide details below to improve the information on TAIRA CORYN BUTLER.
| 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.