Individual provider Active NPI

Shanae Butler

  • Case Manager/Care Coordinator
  • Lewisville, TX
National Provider Identifier
1114343662
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
1595 S Old Orchard LN Apt 1807
Lewisville, TX 75067-4723
Phone
(972) 839-4204
NPI assigned
Mar 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

1595 S Old Orchard LN Apt 1807
Lewisville, TX 75067-4723

Mailing address

1595 S Old Orchard LN Apt 1807
Lewisville, TX 75067-4723
Phone (972) 839-4204

Other practice location 1

9571 Westwood Place Dr
Houston, TX 77036-6630
Phone (972) 839-4204

Other practice location 2

1217 High Valley Dr
Garland, TX 75041-2051
Phone (972) 839-4204

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1394150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1114343662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 S OLD ORCHARD LN APT 1807",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750674723",
            "telephone_number": "972-839-4204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 S OLD ORCHARD LN APT 1807",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750674723",
            "telephone_number": "972-839-4204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9571 Westwood Place Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770366630",
            "country_code": "US",
            "telephone_number": "972-839-4204",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1217 High Valley Dr",
            "address_purpose": "LOCATION",
            "city": "Garland",
            "state": "TX",
            "postal_code": "750412051",
            "country_code": "US",
            "telephone_number": "972-839-4204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "SHANAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-07",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; 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.