Felice MNL Butler, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

ATR-001702 Issued in AZ

Practice address

1630 E Southern Ave
Mesa, AZ 85204-5220

Phone

(480) 472-5955

NPI assigned

Jan 13, 2020

Last updated

Jan 13, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1144860529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2476 S NIELSON ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852957139",
            "telephone_number": "434-660-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 E SOUTHERN AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045220",
            "telephone_number": "480-472-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "FELICE",
        "middle_name": "MNL",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": "ATR-001702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valentine Mukahirwa Busogi
• Makenna Busse
• Jeanette Bustamante
• Rodeleine M. Salvatus Bustamante, COTA
• Brett Allen Butler, D.C.
• Grace Elizabeth Butler
• Jenna Brea Butler
• Joan Margaret Butler
• Kira Butler, LAMFT
• Scott Butler

• Athletic Trainer in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Athletic Trainer in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; 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.