Individual provider Active NPI

Miriam D. Butler, NP-C, APRN-BC

  • Family Nurse Practitioner
  • Hillsboro, MO
National Provider Identifier
1346234085
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
106894 Issued in MO
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

Updated by the provider on Mar 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
106894MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson County Health Departmet Past Accepting new patients
Compass Health, Inc PastSince Jun 2, 2018 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.

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.

Verify at the official NPI Registry.