Individual provider Active NPI

Cassandra Joan Butler

  • Reflexologist
  • Buffalo, NY
National Provider Identifier
1275895161
Registry record updated Jun 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ReflexologistTaxonomy code 173C00000X
License
007815-1 Issued in NY
Practice address
1641 Hertel Ave
Buffalo, NY 14216-2905
Phone
(716) 835-2225
NPI assigned
Jun 15, 2012
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

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

State licenses

LicenseStateTypeSpecialty
007815-1NYMDReflexologist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Care Chiropractic of Wny Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Reflexologist 173C00000X 007815-1 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

1641 Hertel Ave
Buffalo, NY 14216-2905

Mailing address

43 Monroe Dr
Williamsville, NY 14221-6827
Phone (716) 632-1004

Other names 1

NPPES NPI Registry
  • Ms. Sandra Joan Butler Professional name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 15, 2012.

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339718400000",
    "number": "1275895161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 MONROE DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216827",
            "telephone_number": "716-632-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 HERTEL AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142162905",
            "telephone_number": "716-835-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "CASSANDRA",
        "middle_name": "JOAN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-15",
        "last_updated": "2012-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "NY",
            "license": "007815-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "BUTLER",
            "middle_name": "JOAN",
            "prefix": "MS.",
            "credential": "LMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; 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.