Kimberly Elaine Butler, RN

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

629358 Issued in TX

Practice address

19222 County Road 4108
Lindale, TX 75771-6170

Phone

(903) 520-6243

Fax

(903) 882-3964

NPI assigned

Oct 27, 2011

Last updated

Oct 11, 2023By 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

Credentials

Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Behavior and Language Treatment Center

  • Developmentally Disabled Services Day Training Agency
  • Lindale, TX
  • NPI 1922384403
  NPD Authorized official
• Lone Star Day Program

  • Behavior Analyst
  • Lindale, TX
  • NPI 1801210505
  NPD

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1174809743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19222 COUNTY ROAD 4108",
            "city": "LINDALE",
            "state": "TX",
            "postal_code": "757716170",
            "telephone_number": "903-520-6243",
            "fax_number": "903-882-3964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19222 COUNTY ROAD 4108",
            "city": "LINDALE",
            "state": "TX",
            "postal_code": "757716170",
            "telephone_number": "903-520-6243",
            "fax_number": "903-882-3964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "KIMBERLY",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-27",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "TX",
            "license": "629358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melita Lang Brooks, MD
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• Camden Kae Brown
• Bonnie Rose Bury-Blattman, LPC
• Latoya N Bush
• Cannery Pharmacy Services LLC
• Cannery Pharmacy Services LLC
• Allyson Elaine Carter
• Haley Castillo
• Lindsay Chamberlain, LPC

• Psychiatric/Mental Health Registered Nurse in Lindale, TX
• Providers in Lindale, TX by specialty
• Psychiatric/Mental Health Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.