Mary A Butler, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

694060 Issued in TX

Practice address

755 N 11TH St
Ste P2280
Beaumont, TX 77702-1525

Phone

(409) 892-4600

Fax

(409) 892-4605

NPI assigned

May 16, 2011

Last updated

May 16, 2011By the provider in NPPES

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

Other names 1

• Mary A Gream Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305504000000",
    "number": "1275826844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 N 11TH ST",
            "address_2": "STE P2280",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021525",
            "telephone_number": "409-892-4600",
            "fax_number": "409-892-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 N 11TH ST",
            "address_2": "STE P2280",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021525",
            "telephone_number": "409-892-4600",
            "fax_number": "409-892-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "MARY",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-16",
        "last_updated": "2011-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "694060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "GREAM",
            "middle_name": "A",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauren Burris
• Kaylan Burton, M.ED., LPC-A
• Lakisha Bush
• Denise Butler-Owen, LCSW
• Catherien Ann Butler, SLP
• Penelope Butler, LPC
• David Butten, MD
• Deidra Byas
• Beth Ann Byers, M.S. CCC-SLP
• Timothy Wayne Byers Jr., FNP-BC

• Nurse Practitioner in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; 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.