Active NPI
Ava Jean Butera, RN
- Psychiatric/Mental Health Nurse Practitioner
- New York, NY
National Provider Identifier
1144087248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 407973
- Practice address
- 515 Madison Ave FL 21
New York, NY 10022-5433 - Phone
- (646) 394-9996
- NPI assigned
- Mar 5, 2024
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 407973 | NY | Primary |
Addresses
Primary practice location
515 Madison Ave FL 21
New York, NY 10022-5433
Mailing address
409 St Pauls Ave
Staten Island, NY 10304-2127
Phone (917) 921-4531
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 407973 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768348800000",
"number": "1144087248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 ST PAULS AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103042127",
"telephone_number": "917-921-4531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 MADISON AVE FL 21",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100225433",
"telephone_number": "646-394-9996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTERA",
"first_name": "AVA",
"middle_name": "JEAN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-05",
"last_updated": "2026-01-14",
"certification_date": "2026-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "407973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.