Denise Kimberly Butler, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703109637 Issued in MI

Practice address

32500 Concord Dr
Ste.343
Madison Heights, MI 48071-1100

Phone

(248) 588-0512

NPI assigned

Jun 29, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Promise Keepers Nursing

  • Nursing Care Agency
  • Detroit, MI
  • NPI 1891043436
  NPD (past) Authorized official
• Promise Keepers Health Services, LLC

  • Nursing Care Agency
  • Detroit, MI
  • NPI 1679965685
  NPD (past)

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340928000000",
    "number": "1306100862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18145 CARDONI ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482032492",
            "telephone_number": "313-909-7151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32500 CONCORD DR",
            "address_2": "STE.343",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480711100",
            "telephone_number": "248-588-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "DENISE",
        "middle_name": "KIMBERLY",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-29",
        "last_updated": "2012-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703109637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helena Bulka, D.O.
• Rana Raad Burek, D.O.
• Bradford Wayne Burgess, D.O.
• Jackilyn Burkeen
• Caitlyn Lee Buskirk, BEHAVIOR TECHNICIAN
• Roxann Ruth Byars, OTL
• Annie Cacy, D.O.
• Sandra Jean Cagle, NP
• Moneta Caliston, MD
• Danae Cota-Avila Caloura

• All providers in Madison Heights, MI
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.