Anasha Bush Butler, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP 133078 Issued in TX

Practice address

3600 Gulfway Drive
B
Port Arthur, TX 77642

Phone

(409) 217-4057

Fax

(409) 223-7994

NPI assigned

Jan 26, 2017

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Ab Genuine Health, LLC

  • Family Medicine Physician
  • Nederland, TX
  • NPI 1568091072
  Medicare reassignment
• Gulf Coast Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Port Arthur, TX
  • NPI 1205275054
  NPD (past)

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1104363225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 N 14TH ST",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776274039",
            "telephone_number": "409-217-4057",
            "fax_number": "409-223-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 GULFWAY DRIVE",
            "address_2": "B",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "77642",
            "telephone_number": "409-217-4057",
            "fax_number": "409-223-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH BUTLER",
        "first_name": "ANASHA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-26",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP 133078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104363225",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bruce'S Transportation Services
• Gavin Vance Bruney, CRNA
• Ashley Nicole Bryce, RN, MSN, FNP-C
• Lydia Bundick, APRN
• Carla Riley Burnett
• BV Continuing Care Center LTD. Co.
• Christie A Byrne, M.S., LPC
• C. R. Heirtzler, Jr., D.D.S., Inc.
• Sharmaine Capilit, PHARMD, RPH
• Capland Center for Communication Disorders, Inc.

• Family Nurse Practitioner in Port Arthur, TX
• Providers in Port Arthur, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.