Ebony Monique Butts, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

334298 Issued in NY

Practice address

49 Oakcrest Ave
Middle Island, NY 11953-1415

Phone

(632) 995-2900

NPI assigned

Apr 7, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1554595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554595200000",
    "number": "1346703402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3302 TOWNEHOUSE DR",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117272849",
            "telephone_number": "631-433-1132",
            "fax_number": "631-846-8369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 OAKCREST AVE",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "119531415",
            "telephone_number": "632-995-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTS",
        "first_name": "EBONY",
        "middle_name": "MONIQUE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-07",
        "last_updated": "2019-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "334298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "334298",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carissa Cecily Burgard
• Brittany Burke
• Kim Burke, RN
• Melissa Buscetta, RD
• Cassandra Busche, M.A., CCC-SLP
• Mark C Byrnes, LPN
• Noelle Calascione, LMSW
• Lisa Caldarelli, LPN
• Jennifer Caldarola, MA, CCC-SLP
• Noel Calise

• Licensed Practical Nurse in Middle Island, NY
• Providers in Middle Island, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2019; 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.