Individual provider Active NPI

Beth Anne Basler, NP

  • Family Nurse Practitioner
  • Hazelwood, MO
National Provider Identifier
1013130376
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
132494 Issued in MO
Practice address
5690 Campus Pkwy
Hazelwood, MO 63042-2335
Phone
(314) 731-8888
Fax
(314) 731-8888
NPI assigned
Apr 11, 2007
Last updated
May 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 132494 MO Primary

Addresses

Primary practice location

5690 Campus Pkwy
Hazelwood, MO 63042-2335

Mailing address

5690 Campus Pkwy
Hazelwood, MO 63042-2335
Phone (314) 731-8888

Other names 1

  • Mrs. Beth Anne Butler Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marathon Health, LLC CurrentSince Sep 5, 2023 Accepting new patients
Hospice of the Calumet Area, Inc. Past Accepting new patients
Health & Oncology Services, Inc Past Accepting new patients

Locations

5690 Campus Pkwy
Hazelwood, MO 63042
Phone (314) 731-8888

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1013130376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5690 CAMPUS PKWY",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630422335",
            "telephone_number": "314-731-8888",
            "fax_number": "314-731-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5690 CAMPUS PKWY",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630422335",
            "telephone_number": "314-731-8888",
            "fax_number": "314-731-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASLER",
        "first_name": "BETH",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "132494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "BUTLER",
            "middle_name": "ANNE",
            "prefix": "MRS.",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hazelwood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.