Reva Butchey, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9115656 Issued in FL

Practice address

2015 NW 1St Ave
Miami, FL 33127-4901

Phone

(305) 572-2026

NPI assigned

Feb 16, 2022

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

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: reva.butchey.pa-c.1@23939.direct.athenahealth.com

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1265187496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15800 SURREY CIR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333312568",
            "telephone_number": "954-849-9858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 NW 1ST AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331274901",
            "telephone_number": "305-572-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTCHEY",
        "first_name": "REVA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9115656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rbutchey@caringplaceclinic.org",
            "affiliation": "N",
            "endpointDescription": "Reva at Miami Rescue Mission Clinic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2015 NW 1st Ave",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331274901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rbutchey@caringplaceclinic.org",
            "affiliation": "N",
            "endpointDescription": "Reva at Miami Rescue Mission Clinic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2015 NW 1st Ave",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331274901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Valeria Patricia Bustos Hemer, MD, MSC
• Katrina Isabella Bustos
• Leslie Marie Bustos
• Danays Busutil Valdes
• Nadia Butcher, M.S., CCC-SLP
• Michael Patrick Butkus, PHD
• Jarrod K Butler
• Natalie Vincent Butler, M.D.
• Shaunte Butler
• Hoda Butrous, MD

• Physician Assistant in Miami, FL
• Providers in Miami, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.