Active NPI
Miriam D. Butler, NP-C, APRN-BC
- Family Nurse Practitioner
- Hillsboro, MO
National Provider Identifier
1346234085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 106894
- Practice address
- 405 Main St
Hillsboro, MO 63050-4351 - Phone
- (636) 797-8045
- NPI assigned
- Sep 8, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 106894 | MO | Primary |
Addresses
Primary practice location
405 Main St
Hillsboro, MO 63050-4351
Mailing address
405 Main St
Hillsboro, MO 63050-4351
Phone (636) 797-8045
Other practice location 1
1818 Lonedell Rd
Arnold, MO 63010-1050
Phone (636) 282-1010
Other practice location 2
1818 Lonedell Rd
Arnold, MO 63010-1050
Phone (636) 282-1010
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106894 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson County Health Departmet | Past | Accepting new patients | |
| Compass Health, Inc | 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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- High Ridge, MO
- NPI 1356751648
-
- Public Health or Welfare Agency
- Arnold, MO
- NPI 1093856163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522281600000",
"number": "1346234085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 MAIN ST",
"city": "HILLSBORO",
"state": "MO",
"postal_code": "630504351",
"telephone_number": "636-797-8045",
"fax_number": "636-797-4631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 MAIN ST",
"city": "HILLSBORO",
"state": "MO",
"postal_code": "630504351",
"telephone_number": "636-797-8045"
}
],
"practiceLocations": [
{
"address_1": "1818 Lonedell Rd",
"address_purpose": "LOCATION",
"city": "Arnold",
"state": "MO",
"postal_code": "630101050",
"country_code": "US",
"telephone_number": "636-282-1010",
"fax_number": "636-797-8045",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1818 Lonedell Rd",
"address_purpose": "LOCATION",
"city": "Arnold",
"state": "MO",
"postal_code": "630101050",
"country_code": "US",
"telephone_number": "636-282-1010",
"fax_number": "636-282-2525",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUTLER",
"first_name": "MIRIAM",
"middle_name": "D.",
"credential": "NP-C, APRN-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-08",
"last_updated": "2018-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "106894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hillsboro, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.