Individual provider Active NPI

Jessica Anne Butt, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • East Greenwich, RI
National Provider Identifier
1023618634
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN02493 Issued in RI
Practice address
1285 S County TRL
East Greenwich, RI 02818-1620
Phone
(401) 886-0902
NPI assigned
Nov 1, 2020
Last updated
Jun 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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 APRN02493 RI Primary

Addresses

Primary practice location

1285 S County TRL
East Greenwich, RI 02818-1620

Mailing address

1285 S County TRL
East Greenwich, RI 02818-1620
Phone (401) 886-0902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210617002531 RI Practitioner - Nurse Practitioner 9133529753 Reassigns benefits to 2 organizations
I20231109002007 CT Practitioner - Nurse Practitioner 9133529753 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care, P.a. CurrentSince Aug 3, 2023 Accepting new patients
Thundermist Health Center CurrentSince Mar 17, 2021 Accepting new patients
American Current Care P.a. CurrentSince Aug 3, 2023 Accepting new patients
Thundermist Health Center CurrentSince Mar 17, 2021 Accepting new patients
Thundermist Health Center Current Accepting new patients
American Current Care PA CurrentSince Oct 2, 2023 Accepting new patients

Locations

701 Main St
East Hartford, CT 06108
Phone (860) 289-5561

315 W Main St
Norwich, CT 06360
Phone (860) 589-5100

290 Branch Ave
Providence, RI 02904
Phone (401) 722-8880

186 Providence St
West Warwick, RI 02893
Phone (401) 615-2800

25 John a Cummings Way
Ste 302
Woonsocket, RI 02895

450 Clinton St
Woonsocket, RI 02895

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DCBEAA

Organizations & group practices 6

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": "1604188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1023618634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1285 S COUNTY TRL",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028181620",
            "telephone_number": "401-886-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 S COUNTY TRL",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028181620",
            "telephone_number": "401-886-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTT",
        "first_name": "JESSICA",
        "middle_name": "ANNE",
        "name_prefix": "Miss",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-01",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN02493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Greenwich, RI

Sources for this page

Verify at the official NPI Registry.