Jeremy Butler

Primary specialty

DriverTaxonomy code 172A00000X

License

749777338 Issued in NY

Practice address

2115 Sandstone CT
Mansfield, TX 76063-5083

Phone

(917) 771-3037

NPI assigned

Oct 24, 2022

Last updated

Oct 24, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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.

• Butler First Transportation LLC

  • Secured Medical Transport (VAN)
  • Mansfield, TX
  • NPI 1356068886
  NPD Authorized official

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1043937634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 SANDSTONE CT",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635083",
            "telephone_number": "917-771-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 SANDSTONE CT",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635083",
            "telephone_number": "917-771-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "JEREMY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "NY",
            "license": "749777338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melody Burton, D.O.
• Elizabeth A Busch, PA-C
• Robyn Ellen Bussell Anaya, LCSW
• Butler First Transportation LLC
• Jason Robert Butler, M.D.
• Kimberly Butler, PHARMD
• Tanita Breyannen Denae Butler, FNP-C
• By His Grace Housecalls Inc
• Chrisshundra Byrd
• Keane Alan Byrom, CCC-SLP

• Driver in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Driver in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.