Individual provider Active NPI

Sondra Ann Butler, MSN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1225466469
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN328025 Issued in OH
Practice address
2727 Madison Rd Ste 304
Cincinnati, OH 45209-2271
Phone
(513) 533-6463
Fax
(513) 533-6462
NPI assigned
Oct 25, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN328025 OH
Family Nurse Practitioner 363LF0000X COA.19043NP OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN328025 OH Primary

Addresses

Primary practice location

2727 Madison Rd Ste 304
Cincinnati, OH 45209-2271

Mailing address

2727 Madison Rd Ste 304
Cincinnati, OH 45209-2271
Phone (513) 533-6463

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL www.galemd.com Melvin S Gale M D
CONNECT URL sbutler@healthymps.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160624001065 OH Practitioner - Nurse Practitioner 3375834104 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2727 Madison Rd
Suite 304
Cincinnati, OH 45209-2271
Phone (513) 533-6463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN328025OHMDRegistered Nurse
COA.19043NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arvind Modawal MD Inc CurrentSince Jun 1, 2016 Accepting new patients
Mobile Medical, Inc. CurrentSince Jun 1, 2016 Accepting new patients
Mobile Medical Inc Current Accepting new patients
Healthy Minds Psychiatric Services LLC Psychiatric/Mental Health CurrentSince Jul 28, 2021 Accepting new patients
Mobile Medical, Inc. Family CurrentSince Jun 1, 2016 Accepting new patients
Humble Hearts Home Health PSC Past Accepting new patients
Mobile Medical, Inc. Past Accepting new patients

Locations

2727 Madison Rd
Ste 304
Cincinnati, OH 45209
Phone (513) 533-4121

135 Merchant St
Ste 270
Cincinnati, OH 45246
Phone (513) 771-7483

3255 Levis Commons Blvd
Perrysburg, OH 43551
Phone (419) 874-0393

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1382659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1225466469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 MADISON RD STE 304",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452092271",
            "telephone_number": "513-533-6463",
            "fax_number": "513-533-6462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 MADISON RD STE 304",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452092271",
            "telephone_number": "513-533-6463",
            "fax_number": "513-533-6462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "SONDRA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MSN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-25",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN328025",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.19043NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "RN328025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.galemd.com",
            "affiliation": "Y",
            "affiliationName": "Melvin S Gale M D",
            "address_1": "2135 Dana Ave",
            "address_2": "Suite 410",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452071327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sbutler@healthymps.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2727 Madison Rd Ste 304",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452092271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.