Jay W Butwinick, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11007863 Issued in FL

Practice address

1730 Dunlawton Ave Ste 1
Port Orange, FL 32127-8986

Phone

(386) 320-3299

NPI assigned

Jul 15, 2020

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

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.

• Sunshine Physicians Inc

  • Internal Medicine Physician
  • Port Orange, FL
  • NPI 1376998971
  NPD

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1053929190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N CLYDE MORRIS BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 DUNLAWTON AVE STE 1",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321278986",
            "telephone_number": "386-320-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTWINICK",
        "first_name": "JAY",
        "middle_name": "W",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-15",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11007863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Burke Collins Therapy, Inc
• Vanessa Christine Burke
• Debra Burnett
• Lisa Burt
• Gina Beth Bushelon, DOM, A.P.
• Abiola Byron
• C B Williamson
• C Lawrence Slade MD Facs LLC
• C. Lawrence Slade, M.D., F.a.C.S., LLC
• Carlene Cabot

• Family Nurse Practitioner in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.