Asya Butler

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

CO105397 Issued in GA

Practice address

4290 Memorial Dr Ste B1
Decatur, GA 30032-1225

Phone

(404) 668-8287

Fax

(470) 486-6700

NPI assigned

Jul 20, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Salon Asya Mignon LLC

  • Prosthetic/Orthotic Supplier
  • Decatur, GA
  • NPI 1174147938
  NPD Authorized official

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1043828767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4290 MEMORIAL DR STE B1",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300321225",
            "telephone_number": "404-668-8287",
            "fax_number": "470-486-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4290 MEMORIAL DR STE B1",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300321225",
            "telephone_number": "404-668-8287",
            "fax_number": "470-486-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "ASYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "GA",
            "license": "CO105397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonja Bush, CRT
• Sarah Bushnag
• Bustamante Counseling (Centered Soul Therapy)
• Angela Ruth Butler Rice, MD
• Addison Butler, PA-C
• Darryl Michael Butler
• Maya Altonette Butler, LPC, CCTP, NCC
• Navardo Butler
• Nicoya Butler, NP
• Nikichia Butler

• Prosthetics Case Management in Decatur, GA
• Providers in Decatur, GA by specialty
• Prosthetics Case Management in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.