Kinnette Nicole Butler

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Practice address

301 Humble Ave Ste 171
120 Willis Atreet
Hattiesburg, MS 39401-6365

Phone

(601) 620-4344

NPI assigned

Oct 28, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1023830379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 HUMBLE AVE STE 171",
            "address_2": "120 WILLIS ATREET",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394016365",
            "telephone_number": "601-620-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HUMBLE AVE STE 171",
            "address_2": "120 WILLIS ATREET",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394016365",
            "telephone_number": "601-620-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "KINNETTE",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Brooks Butler, LAT,ATC
• Carrie Butler, CCSS
• Harry L Butler, M.D.
• Jewprano Butler
• Julie Marie Butler, ATC
• Marshall Bynum, PA
• Stephanie Diane Bynum, MD
• Alexa Davis Byrd, AUDIOLOGIST
• Anthony E Byrd, RPH
• Byron Kemp Clark

• Home Health Agency in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Home Health Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.