Individual provider Active NPI

Alisa M. Butler, FNP

  • Family Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1366832685
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP08116 Issued in LA
Practice address
500 Patterson St
Lafayette, LA 70501-1849
Phone
(337) 769-9451
Fax
(337) 769-9460
NPI assigned
Jan 24, 2015
Last updated
Mar 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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 AP08116 LA Primary

Addresses

Primary practice location

500 Patterson St
Lafayette, LA 70501-1849

Mailing address

2000 Opelousas St
Lake Charles, LA 70601-2641
Phone (337) 439-9983

Other practice location 1

3414 Moss St
Suite F
Lafayette, LA 70507-6107
Phone (337) 706-8986

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20170726002050 LA Practitioner - Nurse Practitioner 0840576070 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iberia Medical Center Physician Practice NetworkGroup PAC ID 3476730847, 20 clinicians

Practice addresses (Care Compare)

1100 Bertrand Dr
Lafayette, LA 70506-4110
Phone (337) 261-8500

2313 E Main St
Suite C
New Iberia, LA 70560-4091
Phone (337) 364-1734

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iberia Medical Center Physician Practice Network Nurse Practitioner CurrentSince Oct 9, 2023 Accepting new patients
Hospital Service District No. 1 of Iberia Parish Current Accepting new patients
Capital Health Medical Group Past Accepting new patients
Lsumc University Medical Center Past Accepting new patients

Locations

2313 E Main St
Ste C
New Iberia, LA 70560
Phone (337) 364-1734

520 N Lewis St
Ste 204
New Iberia, LA 70563
Phone (337) 256-5378

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-usa.unify.chbase.com/org/ibermed-05842f36

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1422057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1366832685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 OPELOUSAS ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706012641",
            "telephone_number": "337-439-9983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PATTERSON ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705011849",
            "telephone_number": "337-769-9451",
            "fax_number": "337-769-9460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3414 Moss St",
            "address_2": "Suite F",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705076107",
            "country_code": "US",
            "telephone_number": "337-706-8986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "ALISA",
        "middle_name": "M.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-24",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.