Individual provider Active NPI

Madison Rae Butler, NP

  • Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1235919184
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
34633 Issued in TN
Practice address
140 W 14TH St
Chattanooga, TN 37402-4403
Phone
(423) 682-8674
NPI assigned
Sep 28, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 34633 TN Primary

Addresses

Primary practice location

140 W 14TH St
Chattanooga, TN 37402-4403

Mailing address

8516 Gracie Mac LN
Ooltewah, TN 37363-5791

Other practice location 1

7305 Jarnigan Rd
Chattanooga, TN 37421-4874
Phone (423) 707-2919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20240313000388 TN Practitioner - Nurse Practitioner 7214373299 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Es Health LLCGroup PAC ID 2668838061, 2 clinicians

Practice addresses (Care Compare)

5545 Little Debbie Pkwy
Ooltewah, TN 37363-4357
Phone (423) 777-7570

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34633TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Es Health LLC CurrentSince Feb 5, 2024 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Aug 30, 2024 Accepting new patients

Locations

300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769

5545 Little Debbie Pkwy
Ooltewah, TN 37363
Phone (423) 238-5020

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 2

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": "1695859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1235919184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8516 GRACIE MAC LN",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373635791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W 14TH ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374024403",
            "telephone_number": "423-682-8674"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7305 Jarnigan Rd",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374214874",
            "country_code": "US",
            "telephone_number": "423-707-2919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "MADISON",
        "middle_name": "RAE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "34633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.