Individual provider Active NPI

Takara Nichelle Butler, R.N.

  • Health Educator
  • Baton Rouge, LA
National Provider Identifier
1285091793
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
License
000123074 Issued in LA
Practice address
9618 Jefferson Hwy
Ste. D-202
Baton Rouge, LA 70809-9636
Phone
(225) 394-6968
NPI assigned
Jan 28, 2016
Last updated
Feb 2, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X 000123074 LA Primary

Addresses

Primary practice location

9618 Jefferson Hwy
Ste. D-202
Baton Rouge, LA 70809-9636

Mailing address

9618 Jefferson Hwy
Ste. D-202
Baton Rouge, LA 70809-9636
Phone (225) 394-6968

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
000123074LAMDHealth Educator

Practice roles

OrganizationSpecialtyStatusNew patients
Guided Healthcare Resources, LLC Past Accepting new patients
Resource Center Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454371200000",
    "number": "1285091793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9618 JEFFERSON HWY",
            "address_2": "STE. D-202",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708099636",
            "telephone_number": "225-394-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9618 JEFFERSON HWY",
            "address_2": "STE. D-202",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708099636",
            "telephone_number": "225-394-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "TAKARA",
        "middle_name": "NICHELLE",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-28",
        "last_updated": "2016-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "LA",
            "license": "000123074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; 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.