Active NPI
Lacinda Butler, WHNP
- Women's Health Nurse Practitioner
- Jackson, TN
National Provider Identifier
1124015144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- APN00000682525
- Practice address
- 244 Coatsland Dr
Jackson, TN 38301-3948 - Phone
- (731) 422-4642
- Fax
- (731) 422-2277
- NPI assigned
- Oct 4, 2005
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | APN00000682525 | TN | Primary |
Addresses
Primary practice location
244 Coatsland Dr
Jackson, TN 38301-3948
Mailing address
244 Coatsland Dr
Jackson, TN 38301-3948
Phone (731) 422-4642
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3908877 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Vanderbilt University School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
244 Coatsland Dr
Jackson, TN 38301-3948
Phone (731) 422-4642
Hospital & facility affiliations
- Jackson-Madison County General Hospital
- Hardin Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN00000682525 | TN | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Womans Clinic a Professional Association | Current | Accepting new patients |
Locations
244 Coatsland Dr
Jackson, TN 38301
Phone (731) 422-4642
Organizations & group practices 1
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.
-
- Obstetrics & Gynecology Physician
- Jackson, TN
- NPI 1962456574
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Savannah, TN
- NPI 1699754812
-
- General Acute Care Hospital
- Jackson, TN
- NPI 1093705428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314057600000",
"number": "1124015144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "244 COATSLAND DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383013948",
"telephone_number": "731-422-4642",
"fax_number": "731-422-2277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "244 COATSLAND DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383013948",
"telephone_number": "731-422-4642",
"fax_number": "731-422-2277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "LACINDA",
"credential": "WHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-04",
"last_updated": "2011-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "TN",
"license": "APN00000682525",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3908877",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.