Wanda Faye Butler, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

56221 Issued in OK

Practice address

1401 W Locust St
Suite 102
Stilwell, OK 74960-3217

Phone

(918) 696-4065

Fax

(918) 696-5971

NPI assigned

Sep 13, 2006

Last updated

Jul 8, 2007By 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

• Mrs. Wanda Faye Thurber Former name

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Adair County Health Center, Inc.

  dba Memorial Hospital

  • Medical Specialty Clinic/Center
  • Stilwell, OK
  • NPI 1972780765
  Medicare reassignment NPD
• Adair County Health Center, Inc.

  dba Memorial Hospital

  • Rural Acute Care Hospital
  • Stilwell, OK
  • NPI 1790753358
  NPD
• Adair County Health Center,Inc.

  dba Physicians Clinic

  • Family Medicine Physician
  • Stilwell, OK
  • NPI 1326017492
  NPD
• Okmulgee Emergency PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Okmulgee, OK
  • NPI 1609865666
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295830313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 W LOCUST ST",
            "address_2": "SUITE 102",
            "city": "STILWELL",
            "state": "OK",
            "postal_code": "749603217",
            "telephone_number": "918-696-4065",
            "fax_number": "918-696-5971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 W LOCUST ST",
            "address_2": "SUITE 102",
            "city": "STILWELL",
            "state": "OK",
            "postal_code": "749603217",
            "telephone_number": "918-696-4065",
            "fax_number": "918-696-5971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "WANDA",
        "middle_name": "FAYE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "56221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WANDA",
            "last_name": "THURBER",
            "middle_name": "FAYE",
            "prefix": "MRS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cherryl Kathline Bunch
• Gregory Wayne Bunch, 175T00000X
• Stephanie Dawn Bunch, APRN
• Shiny Susan Burke
• Patricia Gayle Burns, MD
• Tracy Lozon Canant, RD/LD, CDE
• Chad Catron, DDS
• Mary Louise Catron
• Sherry J Catron, DPH
• Chad a. Catron, D.D.S, P.C

• Family Nurse Practitioner in Stilwell, OK
• Providers in Stilwell, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.