Cheryl Butler, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA60600230 Issued in WA

Practice address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723

Phone

(415) 658-6791

NPI assigned

Sep 18, 2014

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 identifiers 1

Other names 1

• Cheri Butler Professional name

Medicare fee-for-service enrollment

Enrolled in WA

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

Physician Assistant

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 and National Provider Directory roles.

• Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6

  • Family Medicine Physician
  • Grand Coulee, WA
  • NPI 1265422935
  Medicare reassignment NPD
• Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6

  • Critical Access Hospital
  • Grand Coulee, WA
  • NPI 1184844185
  Medicare reassignment
• Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6

  • Medicare Defined Swing Bed Hospital Unit
  • Grand Coulee, WA
  • NPI 1699851840
  NPD

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1306248687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 FORTUYN RD",
            "city": "GRAND COULEE",
            "state": "WA",
            "postal_code": "991338718",
            "telephone_number": "509-633-1753",
            "fax_number": "509-633-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723",
            "telephone_number": "415-658-6791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 Fortuyn Rd",
            "address_purpose": "LOCATION",
            "city": "Grand Coulee",
            "state": "WA",
            "postal_code": "991338718",
            "country_code": "US",
            "telephone_number": "509-633-1911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "CHERYL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-18",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60600230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2050004",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERI",
            "last_name": "BUTLER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Andrew Butler-Pothast
• Blythe Anne Butler, MD
• Brent Daly Butler
• Carol Butler
• Chen-Ping Butler, MD, MPH
• Christi Butler
• Daniel Butler, M.D.
• Daniel Greeley Butler, MA CANDIDATE
• Danielle M Butler
• Di Joun Butler

• Physician Assistant in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; 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.