Active NPI
Jonathan Douglas Butler, RN, EMT
- Registered Nurse
- Rochester, MN
National Provider Identifier
1174405591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 199401-8
- Practice address
- 2110 E Center St
Rochester, MN 55904-4754 - Phone
- (507) 287-0674
- NPI assigned
- Jul 24, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 199401-8 | MN | Primary |
Addresses
Primary practice location
2110 E Center St
Rochester, MN 55904-4754
Mailing address
918 1St Ave NW
Byron, MN 55920-1410
Phone (641) 420-8238
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
- Emergency Medical Technician, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 199401-8 | MN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| US Department of Justice | Past | Accepting new patients | |
| Mayo Clinic | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Medical Laboratory
- Rochester, MN
- NPI 1083249577
-
- General Practice Physician
- Rochester, MN
- NPI 1780899518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753315200000",
"number": "1174405591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "918 1ST AVE NW",
"city": "BYRON",
"state": "MN",
"postal_code": "559201410",
"telephone_number": "641-420-8238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2110 E CENTER ST",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559044754",
"telephone_number": "507-287-0674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "JONATHAN",
"middle_name": "DOUGLAS",
"credential": "RN, EMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-07-24",
"last_updated": "2025-07-24",
"certification_date": "2025-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "199401-8",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.