Individual provider Active NPI

Lindsey Butt, FNP

  • Family Nurse Practitioner
  • Boise City, OK
National Provider Identifier
1114650348
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
202039 Issued in OK
Practice address
100 Ellis Ave
Boise City, OK 73933
Phone
(580) 544-3008
NPI assigned
Jul 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 202039 OK Primary

Addresses

Primary practice location

100 Ellis Ave
Boise City, OK 73933

Mailing address

HC 3 Box 8
Boise City, OK 73933-9654
Phone (806) 683-9455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20220810002676 OK Practitioner - Nurse Practitioner 7315320272 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cimarron Memorial Hospital and Nursing HomeGroup PAC ID 5698686517, shared by 4 NPIs, 7 clinicians

Practice addresses (Care Compare)

102 S Ellis
Boise City, OK 73933-1059
Phone 5805442501128

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cimarron Memorial Hospital and Nursing Home CurrentSince Jul 21, 2022 Accepting new patients
Cimarron Memorial Hospital and Nursing Home CurrentSince Jul 21, 2022 Accepting new patients
Cimarron Memorial Hospital and Nursing Home CurrentSince Jul 21, 2022 Accepting new patients
Cimarron Memorial Hospital and Nursing Home Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/cimarro-3728c3df

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1114650348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 3 BOX 8",
            "city": "BOISE CITY",
            "state": "OK",
            "postal_code": "739339654",
            "telephone_number": "806-683-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ELLIS AVE",
            "city": "BOISE CITY",
            "state": "OK",
            "postal_code": "73933",
            "telephone_number": "580-544-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTT",
        "first_name": "LINDSEY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-06",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "202039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise City, OK

Sources for this page

Verify at the official NPI Registry.