Active NPI
Jodie Butler
- Behavior Technician
- Fort Myers, FL
National Provider Identifier
1336819846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 6832 International Center Blvd Ste 1
Fort Myers, FL 33912-7152 - Phone
- (800) 210-0814
- NPI assigned
- Sep 16, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
6832 International Center Blvd Ste 1
Fort Myers, FL 33912-7152
Mailing address
8237 Vicela Dr
Sarasota, FL 34240-1462
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtus Health, LLC | Behavior Technician | Current | Accepting new patients |
Locations
6832 International Center Blvd
Ste 1
Fort Myers, FL 33912
Phone (239) 778-4674
8237 Vicela Dr
Sarasota, FL 34240
Phone (941) 374-6662
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, 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": "1631750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631750400000",
"number": "1336819846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8237 VICELA DR",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342401462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6832 INTERNATIONAL CENTER BLVD STE 1",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339127152",
"telephone_number": "800-210-0814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "JODIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-16",
"last_updated": "2021-09-16",
"certification_date": "2021-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.