Active NPI
Carrie Lynn Butler
- Health Educator
- Portland, OR
National Provider Identifier
1235695180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 8835 SW Canyon LN Ste 125
Portland, OR 97225-3451 - Phone
- (503) 207-7308
- Fax
- (503) 894-6007
- NPI assigned
- Feb 15, 2019
- Last updated
- Apr 9, 2019
- 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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | NU | Primary |
Addresses
Primary practice location
8835 SW Canyon LN Ste 125
Portland, OR 97225-3451
Mailing address
8835 SW Canyon LN Ste 125
Portland, OR 97225-3451
Phone (503) 207-7308
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifeweighs | Health Educator | Past | Accepting new patients |
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": "1550188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554768000000",
"number": "1235695180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8835 SW CANYON LN STE 125",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972253451",
"telephone_number": "503-207-7308",
"fax_number": "503-894-6007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8835 SW CANYON LN STE 125",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972253451",
"telephone_number": "503-207-7308",
"fax_number": "503-894-6007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "CARRIE",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-15",
"last_updated": "2019-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.