Individual provider Active NPI

Lauren Elizabeth Butterfield, M.D.

  • Psychiatry Physician
  • St Petersburg, FL
National Provider Identifier
1205095874
Registry record updated Dec 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME136372 Issued in FL
Practice address
7901 4TH St N Ste 308
St Petersburg, FL 33702-4313
Phone
(727) 295-3370
Fax
(727) 513-6839
NPI assigned
Jun 8, 2008
Last updated
Dec 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME136372 FL Primary

Addresses

Primary practice location

7901 4TH St N Ste 308
St Petersburg, FL 33702-4313

Mailing address

5921 Bayview Cir S Apt 1315
Gulfport, FL 33707-3929
Phone (727) 295-3370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2022 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME136372FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atala Health PA CurrentSince Mar 22, 2020 Accepting new patients

Locations

7901 4th St N
Ste 308
St Petersburg, FL 33702
Phone (727) 295-3370

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1212883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1205095874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5921 BAYVIEW CIR S APT 1315",
            "city": "GULFPORT",
            "state": "FL",
            "postal_code": "337073929",
            "telephone_number": "727-295-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 308",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024313",
            "telephone_number": "727-295-3370",
            "fax_number": "727-513-6839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTERFIELD",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-08",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME136372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.