NPIMap

Organization Active NPI

Butterfly Effects

  • Nursing Care Agency
  • San Diego, CA
National Provider Identifier
1235475856
Registry record updated Dec 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
BUTTERFLY EFFECTS
Practice address
4650 34TH St Apt D
San Diego, CA 92116-3443
Phone
(619) 565-0042
NPI assigned
Dec 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2012

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

Authorized official

Name
Mr. Marcus Darnell Shannon
Title
Behavioral Counselor
Phone
(619) 565-0042

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

4650 34TH St Apt D
San Diego, CA 92116-3443

Mailing address

4650 34TH Street Apt D
San Diego, CA 92116
Phone (619) 565-0042

Other names 1

  • none Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1356912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356912000000",
    "number": "1235475856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 34TH STREET APT D",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92116",
            "telephone_number": "619-565-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 34TH ST APT D",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921163443",
            "telephone_number": "619-565-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUTTERFLY EFFECTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-31",
        "last_updated": "2012-12-31",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "DARNELL",
        "authorized_official_title_or_position": "BEHAVIORAL COUNSELOR",
        "authorized_official_telephone_number": "619-565-0042",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2012; 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.