Kimberly Cheryl Butrum, RN GNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

724673 Issued in TX

Practice address

313 E 12TH St
Suite 101
Austin, TX 78701-1954

Phone

(512) 324-9660

Fax

(512) 324-9651

NPI assigned

Sep 7, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1013102599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 E 12TH ST",
            "address_2": "SUITE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787011954",
            "telephone_number": "512-324-9660",
            "fax_number": "512-324-9651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 E 12TH ST",
            "address_2": "SUITE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787011954",
            "telephone_number": "512-324-9660",
            "fax_number": "512-324-9651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTRUM",
        "first_name": "KIMBERLY",
        "middle_name": "CHERYL",
        "credential": "RN  GNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-07",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "724673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Maren Butler, LCSW
• Robert E Butler, M.D.
• Sahara A Butler, LPC
• Shameka Butler
• Zoe Kathryn Butler
• Chris Butschek, MD
• Buttercup Therapy Services, PLLC
• Butterfly Pediatric Dentistry
• Brooke Butters, RDN, LDN
• Lisa Butterworth

• Gerontology Nurse Practitioner in Austin, TX
• Providers in Austin, TX by specialty
• Gerontology Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.