Individual provider Active NPI

Jessica Robyn Heesh Butler, DNP, RN

  • Registered Nurse
  • Milford, DE
National Provider Identifier
1194319111
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
L1-0038319 Issued in DE
Practice address
101 N Landing Dr
Milford, DE 19963-5383
Phone
(302) 245-3930
NPI assigned
Feb 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X L1-0038319 DE Primary
Case Management Registered Nurse 163WC0400X L1-0038319 DE

Addresses

Primary practice location

101 N Landing Dr
Milford, DE 19963-5383

Mailing address

101 N Landing Dr
Milford, DE 19963-5383
Phone (302) 245-3930

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

LicenseStateTypeSpecialty
L1-0038319DEMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1194319111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N LANDING DR",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199635383",
            "telephone_number": "302-245-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N LANDING DR",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199635383",
            "telephone_number": "302-245-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEESH BUTLER",
        "first_name": "JESSICA",
        "middle_name": "ROBYN",
        "name_prefix": "Dr.",
        "credential": "DNP, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DE",
            "license": "L1-0038319",
            "primary": true
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "DE",
            "license": "L1-0038319",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.