Active NPI
Kayla Dawn Butler, APRN
- Critical Care Pediatric Nurse Practitioner
- Dallas, TX
National Provider Identifier
1194411926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Pediatric Nurse Practitioner
- License
- 1112636
- Practice address
- 7777 Forest LN Ste C300J
Dallas, TX 75230-2604 - Phone
- (405) 246-8308
- NPI assigned
- Apr 14, 2023
- 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 |
|---|---|---|---|---|
| Critical Care Pediatric Nurse Practitioner | 363LP0222X | 1112636 | TX | Primary |
Addresses
Primary practice location
7777 Forest LN Ste C300J
Dallas, TX 75230-2604
Mailing address
609 Eleanor Dr
Rockwall, TX 75087-0289
Phone (405) 246-8308
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681689600000",
"number": "1194411926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 ELEANOR DR",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750870289",
"telephone_number": "405-246-8308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7777 FOREST LN STE C300J",
"city": "DALLAS",
"state": "TX",
"postal_code": "752302604",
"telephone_number": "405-246-8308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "KAYLA",
"middle_name": "DAWN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-14",
"last_updated": "2023-04-17",
"certification_date": "2023-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0222X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics, Critical Care",
"state": "TX",
"license": "1112636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.