Jacquelyn Norah Butler, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

853800 Issued in NV

Practice address

8970 W Tropicana Ave Ste 6
Las Vegas, NV 89147-8137

Phone

(702) 473-5333

NPI assigned

Dec 8, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Jacquelyn Norah Cantu Former name

Medicare fee-for-service enrollment

Enrolled in NV

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

Nurse Practitioner

State licenses

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.

• Chander PLLC

  • Cardiovascular Disease Physician
  • Las Vegas, NV
  • NPI 1922350677
  Medicare reassignment NPD

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677369600000",
    "number": "1346648342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8970 W TROPICANA AVE STE 6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478137",
            "telephone_number": "702-473-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8970 W TROPICANA AVE STE 6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478137",
            "telephone_number": "702-473-5333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2223 S Loop 256",
            "address_purpose": "LOCATION",
            "city": "Palestine",
            "state": "TX",
            "postal_code": "758014701",
            "country_code": "US",
            "telephone_number": "903-729-9501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2223 S Loop 256",
            "address_purpose": "LOCATION",
            "city": "Palestine",
            "state": "TX",
            "postal_code": "758014701",
            "country_code": "US",
            "telephone_number": "903-729-9501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 10th St",
            "address_purpose": "LOCATION",
            "city": "Alamogordo",
            "state": "NM",
            "postal_code": "88310",
            "country_code": "US",
            "telephone_number": "575-434-2960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "JACQUELYN",
        "middle_name": "NORAH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-08",
        "last_updated": "2023-02-26",
        "certification_date": "2023-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP127148",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-03551",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "853800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELYN",
            "last_name": "CANTU",
            "middle_name": "NORAH",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Derick Lewis Butler
• Dominique Butler
• Fay A. Butler
• Gay Lynn Butler, APRN, FNP-C
• Havana Butler
• Jenaya C Butler
• Jennifer Elaine Butler
• Kathleen G Butler
• Kiana F Butler
• Kristasia Kiyana Leeaster Butler

• Family Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2023; 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.