Individual provider Active NPI

Carol Rich Butler, FNP-C

  • Family Nurse Practitioner
  • Wilmington, NC
National Provider Identifier
1356500763
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5003996 Issued in NC
Practice address
1650 Greenfield St
Wilmington, NC 28401-6456
Phone
(910) 798-3500
Fax
(910) 798-7834
NPI assigned
Jun 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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 5003996 NC Primary

Addresses

Primary practice location

1650 Greenfield St
Wilmington, NC 28401-6456

Mailing address

1650 Greenfield St
Wilmington, NC 28401-6456
Phone (910) 798-3500

Other practice location 1

300-A E McKay St
Elizabethtown, NC 28337
Phone (910) 862-5500 ext. 3010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20140109001796 NC Practitioner - Nurse Practitioner 1557599958 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5003996NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bladen Healthcare LLC CurrentSince Oct 22, 2013 Accepting new patients
Bladen Healthcare LLC Current Accepting new patients
Bladen Healthcare, LLC CurrentSince Oct 22, 2013 Accepting new patients

Locations

501 S Poplar St
Elizabethtown, NC 28337
Phone (910) 862-4043

300A E McKay St
Elizabethtown, NC 28337
Phone (910) 862-5500

Organizations & group practices 4

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": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1356500763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 GREENFIELD ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016456",
            "telephone_number": "910-798-3500",
            "fax_number": "910-798-7834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 GREENFIELD ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016456",
            "telephone_number": "910-798-3500",
            "fax_number": "910-798-7834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300-A E McKay St",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "NC",
            "postal_code": "28337",
            "country_code": "US",
            "telephone_number": "910-862-5500 x3010",
            "fax_number": "910-862-2107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "CAROL",
        "middle_name": "RICH",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-02",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5003996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.