Active NPI
Tracey Butay, CRNP
- Family Nurse Practitioner
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP134687
- Practice address
- 10906 Farm to Market 1960 Rd W
Houston, TX 77070 - Phone
- (281) 477-7490
- NPI assigned
- Sep 26, 2017
- Last updated
- Jul 20, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP017982 | PA | |
| Family Nurse Practitioner | 363LF0000X | AP134687 | TX | Primary |
Addresses
Primary practice location
10906 Farm to Market 1960 Rd W
Houston, TX 77070
Mailing address
10906 Farm to Market 1960 Rd W
Houston, TX 77070
Phone (281) 477-7490
Other practice location 1
1025 W Harrisburg Pike
Middletown, PA 17057-4848
Phone (717) 944-0491
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Houston | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP017982 | PA | MD | Family Nurse Practitioner |
| AP134687 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians | Current | Accepting new patients | |
| Ucp Physicians of Central Texas, PLLC | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Ut Physicians | Current | Accepting new patients | |
| Villagehealth DM LLC | Current | Accepting new patients | |
| Ucp Physicians of Central Texas, PLLC | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients |
Locations
2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100
409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049
1025 W Harrisburg Pike
Middletown, PA 17057
Phone (717) 702-1135
6001 W William Cannon Dr
Ste 302
Austin, TX 78749
Phone (512) 288-3627
1382 Lomaland Dr
Ste B
El Paso, TX 79935
Phone (720) 631-2400
10906 FM 1960 Rd W
Houston, TX 77070
Phone (281) 477-7490
6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714
1331 Northpark Dr
Kingwood, TX 77339
Phone (281) 359-5330
1240 E Palm Valley Blvd
Round Rock, TX 78664
Phone (512) 733-9100
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 8
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.
-
dba Baylor Scott & White Urgent Care Plus
- Urgent Care Clinic/Center
- Georgetown, TX
- NPI 1922289412
-
- Anesthesiology Physician
- Houston, TX
- NPI 1033157821
-
- Family Medicine Physician
- Harrisburg, PA
- NPI 1932143427
-
dba Baylor Scott & White Urgent Care Plus
- Urgent Care Clinic/Center
- Austin, TX
- NPI 1154472967
-
dba UPMC Gastroenterology Associates of Central PA
- Gastroenterology Physician
- Mechanicsburg, PA
- NPI 1295552073
-
dba UPMC Primary Care Oyster Point
- Family Medicine Physician
- Lancaster, PA
- NPI 1952964918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626739200000",
"number": "1265941868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10906 FARM TO MARKET 1960 RD W",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77070",
"telephone_number": "281-477-7490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10906 FARM TO MARKET 1960 RD W",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77070",
"telephone_number": "281-477-7490"
}
],
"practiceLocations": [
{
"address_1": "1025 W Harrisburg Pike",
"address_purpose": "LOCATION",
"city": "Middletown",
"state": "PA",
"postal_code": "170574848",
"country_code": "US",
"telephone_number": "717-944-0491",
"fax_number": "717-944-1436",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUTAY",
"first_name": "TRACEY",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-26",
"last_updated": "2021-07-20",
"certification_date": "2021-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP017982",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP134687",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Houston",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Houston",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Houston",
"address_1": "10906 Farm to Market 1960 Rd W",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "77070",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.