Julie Butchart, DNP, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Washington, DC
NPI 1104431048 · NPPES record last updated Sep 8, 2020
Key facts
- NPI
- 1104431048
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- RN1059082 (DC)
- Practice address
- 5255 Loughboro Rd NW
Washington, DC 20016-2633 - Phone
- (202) 537-4000
- NPI assigned
- Sep 8, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1059082 | DC | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN1059082 | DC | Yes |
Addresses
Primary practice location
5255 Loughboro Rd NW
Washington, DC 20016-2633
Mailing address
2007 Clipper Park Rd Unit 111
Baltimore, MD 21211-1461
Phone (517) 740-5596
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN1059082 | Other | DC | WASHINGTON D.C. BOARD OF NURSING |
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- Elwin G Bustos
- Sabrina Bustos
- Eric L Butcher Sr.
- Jahmaih Butcher
- Jerreme Enoch Butcher
- Jimmie J Butcher
- Trese Butcher
All providers in Washington, DC · Psychiatric/Mental Health Nurse Practitioner in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.