Denise Butler, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

137857 Issued in TX

Practice address

175 Stonebridge LN Ste 100
Southlake, TX 76092-0316

Phone

(817) 421-2905

NPI assigned

Dec 17, 2018

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

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Southlake Neurology and

  • Neurology Physician
  • Southlake, TX
  • NPI 1437362480
  Medicare reassignment NPD

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1225500168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 STONEBRIDGE LN STE 100",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760920316",
            "telephone_number": "817-421-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 STONEBRIDGE LN STE 100",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760920316",
            "telephone_number": "817-421-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "DENISE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "137857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Ann Burman, LCSW
• Mariah Fiorillo Burnell, D.O.
• Catherine Word Burton, M.A., LPC, LMFT
• Stacie Lynn Bussey, RNFA
• Madison Buth
• Kelsi Ane Butler, LPC
• Patrick Clay Buzbee, PA C
• Lakedia Byars
• Kristi Lea Byrd, PT
• C&L Esperanza Home Health Inc

• Nurse Practitioner in Southlake, TX
• Providers in Southlake, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.