Active NPI
Sherri M Butler, M.D.
- Pediatrics Physician
- Pueblo West, CO
National Provider Identifier
1114025459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 48225841205
- Practice address
- 332 S Orchard Springs Dr Ste 150
Pueblo West, CO 81007 - Phone
- (719) 253-7640
- Fax
- (719) 253-7644
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 48225841205 | UT | Primary |
Addresses
Primary practice location
332 S Orchard Springs Dr Ste 150
Pueblo West, CO 81007
Mailing address
466 6TH Ave
Salt Lake City, UT 84103-3034
Phone (801) 918-0181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 72073713 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of Pediatrics University of Utah | Pediatrics | Past | Accepting new patients |
| Small World Pediatrics LLC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- sherri.butler.1@18256.direct.athenahealth.com
- https://api.platform.athenahealth.com/18256/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Pueblo, CO
- NPI 1619059722
-
- Pediatrics Physician
- Salt Lake City, UT
- NPI 1679528715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724025600000",
"number": "1114025459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "466 6TH AVE",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841033034",
"telephone_number": "801-918-0181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "332 S ORCHARD SPRINGS DR STE 150",
"city": "PUEBLO WEST",
"state": "CO",
"postal_code": "81007",
"telephone_number": "719-253-7640",
"fax_number": "719-253-7644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "SHERRI",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2024-08-19",
"certification_date": "2024-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "UT",
"license": "48225841205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "72073713",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pueblo West, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.