Individual provider Active NPI

Douglas Steven Butikofer I, MSN, RN

  • Psychiatric/Mental Health Registered Nurse
  • Idaho Falls, ID
National Provider Identifier
1043129844
Registry record updated Sep 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
44924 Issued in ID
Practice address
2756 W Meadow Lark LN
Idaho Falls, ID 83402-5300
Phone
(208) 227-3702
NPI assigned
Sep 5, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 44924 ID Primary

Addresses

Primary practice location

2756 W Meadow Lark LN
Idaho Falls, ID 83402-5300

Mailing address

2756 W Meadow Lark LN
Idaho Falls, ID 83402-5300
Phone (208) 227-3702

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1788566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788566400000",
    "number": "1043129844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2756 W MEADOW LARK LN",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834025300",
            "telephone_number": "208-227-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2756 W MEADOW LARK LN",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834025300",
            "telephone_number": "208-227-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTIKOFER",
        "first_name": "DOUGLAS",
        "middle_name": "STEVEN",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "MSN, RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-05",
        "last_updated": "2026-09-05",
        "certification_date": "2026-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "ID",
            "license": "44924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.