Active NPI
Heather Buttrum, PA
- Medical Physician Assistant
- Prescott, AZ
National Provider Identifier
1033738901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 8240
- Practice address
- 743 Miller Valley Rd
Prescott, AZ 86301-1813 - Phone
- (928) 777-9600
- Fax
- (855) 449-5560
- NPI assigned
- Apr 10, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 8240 | AZ | Primary |
Addresses
Primary practice location
743 Miller Valley Rd
Prescott, AZ 86301-1813
Mailing address
743 Miller Valley Rd
Prescott, AZ 86301-1813
Phone (928) 777-9600
Other practice location 1
2500 Canyon Rd Ste A1
Bullhead City, AZ 86442-8492
Phone (928) 704-4499
Other practice location 2
450 S Willard St Ste 103
Cottonwood, AZ 86326-6744
Phone (928) 634-9573
Other practice location 3
16928 W Bell Rd Ste 701
Surprise, AZ 85374-8948
Phone (623) 850-0026
Other practice location 4
4365 E Pecos Rd
Gilbert, AZ 85295-7875
Phone (480) 840-9155
Other practice location 5
2171 W Orange Grove Rd
Tucson, AZ 85741-3118
Phone (520) 297-3907
Other practice location 6
3015 Hway 95 Ste 105
Bullhead City, AZ 86442-4334
Phone (928) 772-2582
Other practice location 7
3336 E Chandler Heights Rd Ste 132
Gilbert, AZ 85298-4264
Phone (480) 988-4645
Other practice location 8
4135 S Power Rd Ste 129
Mesa, AZ 85212-3627
Phone (480) 892-7000
Other practice location 9
1300 S 20th Ave
Safford, AZ 85546-3301
Phone (928) 428-3122
Other practice location 10
560 N Camino Mercado Ste 7
Casa Grande, AZ 85122-5759
Phone (520) 836-5538
Other practice location 11
87 Az-89
Chino Valley, AZ 86323
Phone (928) 404-1488
Other practice location 12
7725 N 43rd Ave Ste 510
Phoenix, AZ 85051-5771
Phone (480) 963-6144
Other practice location 13
286 S Lenzner Ave
Sierra Vista, AZ 85635-5685
Phone (520) 452-0388
Other practice location 14
12075 E State Route 69
Dewey, AZ 86327-4517
Phone (928) 772-1673
Other practice location 15
3552 W Baseline Rd Ste 240
Laveen, AZ 85339-3042
Phone (602) 635-6941
Other practice location 16
725 W Elliot Rd Ste 105
Gilbert, AZ 85233-5301
Phone (480) 963-6144
Other practice location 17
5902 E Pima St
Tucson, AZ 85712-4322
Phone (520) 886-5315
Other practice location 18
26224 N Tatum Blvd Ste 15A
Phoenix, AZ 85050-7500
Phone (480) 663-9632
Other practice location 19
21321 E Ocotillo Rd Ste 133
Queen Creek, AZ 85142-5995
Phone (480) 987-5525
Other practice location 20
9171 W Thunderbird Rd Ste 101
Peoria, AZ 85381-4872
Phone (623) 877-0100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201021001051 | AZ | Practitioner - Physician Assistant | 2062832686 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2245 E State Route 69
Prescott, AZ 86301-5674
Phone (833) 688-6247
Hospital & facility affiliations
- Yavapai Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moblie Health Care Solutions, LLC | Past | Accepting new patients | |
| Sundance Medical Associates PLLC | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Prescott Valley, AZ
- NPI 1396170106
-
- Family Medicine Physician
- Gilbert, AZ
- NPI 1942481718
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Prescott, AZ
- NPI 1902897820
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761177600000",
"number": "1033738901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "743 MILLER VALLEY RD",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863011813",
"telephone_number": "928-777-9600",
"fax_number": "855-449-5560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "743 MILLER VALLEY RD",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863011813",
"telephone_number": "928-777-9600",
"fax_number": "855-449-5560"
}
],
"practiceLocations": [
{
"address_1": "2500 Canyon Rd Ste A1",
"address_purpose": "LOCATION",
"city": "Bullhead City",
"state": "AZ",
"postal_code": "864428492",
"country_code": "US",
"telephone_number": "928-704-4499",
"fax_number": "928-704-4949",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "450 S Willard St Ste 103",
"address_purpose": "LOCATION",
"city": "Cottonwood",
"state": "AZ",
"postal_code": "863266744",
"country_code": "US",
"telephone_number": "928-634-9573",
"fax_number": "928-634-0135",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16928 W Bell Rd Ste 701",
"address_purpose": "LOCATION",
"city": "Surprise",
"state": "AZ",
"postal_code": "853748948",
"country_code": "US",
"telephone_number": "623-850-0026",
"fax_number": "623-850-0027",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4365 E Pecos Rd",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852957875",
"country_code": "US",
"telephone_number": "480-840-9155",
"fax_number": "480-840-9320",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2171 W Orange Grove Rd",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857413118",
"country_code": "US",
"telephone_number": "520-297-3907",
"fax_number": "520-989-3586",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3015 Hway 95 Ste 105",
"address_purpose": "LOCATION",
"city": "Bullhead City",
"state": "AZ",
"postal_code": "864424334",
"country_code": "US",
"telephone_number": "928-772-2582",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3336 E Chandler Heights Rd Ste 132",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852984264",
"country_code": "US",
"telephone_number": "480-988-4645",
"fax_number": "480-988-4745",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4135 S Power Rd Ste 129",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852123627",
"country_code": "US",
"telephone_number": "480-892-7000",
"fax_number": "480-988-4745",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1300 S 20th Ave",
"address_purpose": "LOCATION",
"city": "Safford",
"state": "AZ",
"postal_code": "855463301",
"country_code": "US",
"telephone_number": "928-428-3122",
"fax_number": "877-281-8622",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "560 N Camino Mercado Ste 7",
"address_purpose": "LOCATION",
"city": "Casa Grande",
"state": "AZ",
"postal_code": "851225759",
"country_code": "US",
"telephone_number": "520-836-5538",
"fax_number": "844-772-0049",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "87 Az-89",
"address_purpose": "LOCATION",
"city": "Chino Valley",
"state": "AZ",
"postal_code": "86323",
"country_code": "US",
"telephone_number": "928-404-1488",
"fax_number": "866-232-8580",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7725 N 43rd Ave Ste 510",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850515771",
"country_code": "US",
"telephone_number": "480-963-6144",
"fax_number": "480-899-1404",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "286 S Lenzner Ave",
"address_purpose": "LOCATION",
"city": "Sierra Vista",
"state": "AZ",
"postal_code": "856355685",
"country_code": "US",
"telephone_number": "520-452-0388",
"fax_number": "877-281-8622",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12075 E State Route 69",
"address_purpose": "LOCATION",
"city": "Dewey",
"state": "AZ",
"postal_code": "863274517",
"country_code": "US",
"telephone_number": "928-772-1673",
"fax_number": "928-772-1674",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3552 W Baseline Rd Ste 240",
"address_purpose": "LOCATION",
"city": "Laveen",
"state": "AZ",
"postal_code": "853393042",
"country_code": "US",
"telephone_number": "602-635-6941",
"fax_number": "602-635-6952",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "725 W Elliot Rd Ste 105",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852335301",
"country_code": "US",
"telephone_number": "480-963-6144",
"fax_number": "480-899-1404",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5902 E Pima St",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857124322",
"country_code": "US",
"telephone_number": "520-886-5315",
"fax_number": "877-209-7377",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "26224 N Tatum Blvd Ste 15A",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850507500",
"country_code": "US",
"telephone_number": "480-663-9632",
"fax_number": "480-419-6782",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "21321 E Ocotillo Rd Ste 133",
"address_purpose": "LOCATION",
"city": "Queen Creek",
"state": "AZ",
"postal_code": "851425995",
"country_code": "US",
"telephone_number": "480-987-5525",
"fax_number": "480-987-5115",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9171 W Thunderbird Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "AZ",
"postal_code": "853814872",
"country_code": "US",
"telephone_number": "623-877-0100",
"fax_number": "623-328-8713",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUTTRUM",
"first_name": "HEATHER",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-10",
"last_updated": "2025-10-23",
"certification_date": "2025-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AZ",
"license": "8240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.