Kathy Diane Butler, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

42136 Issued in TN

Practice address

7 Laplace Dr
Jackson, TN 38305-3514

Phone

(731) 664-7949

NPI assigned

May 14, 2008

Last updated

Dec 9, 2025By the provider in NPPES

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anew Family Medical PLLC

  • Rural Health Clinic/Center
  • Middleton, TN
  • NPI 1245805712
  NPD
• Anew Family Medical PLLC

  • Rural Health Clinic/Center
  • Henderson, TN
  • NPI 1386260792
  NPD
• Emg Specialty Clinics, P.C.

  • Physical Medicine & Rehabilitation Physician
  • Jackson, TN
  • NPI 1043242548
  NPD (past)
• John B Woods, MD

  • Internal Medicine Physician
  • Jackson, TN
  • NPI 1942233549
  NPD (past)
• The Grove Behavorial Health Services, Inc

  • Mental Health Counselor
  • Jackson, TN
  • NPI 1366009441
  NPD (past)

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1376710624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 FRONT ST",
            "city": "HENDERSON",
            "state": "TN",
            "postal_code": "383402313",
            "telephone_number": "731-989-2829",
            "fax_number": "731-520-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 LAPLACE DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053514",
            "telephone_number": "731-664-7949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "KATHY",
        "middle_name": "DIANE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-14",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "42136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3345749",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Burrow, APRN, FNP-C
• Courtney Burton
• Mark Preston Burton, MD
• Tonya Ashley Burton, NP
• Dana E Bush, A.U.D.
• Lacinda Butler, WHNP
• Rebecca Butler, LPN
• Shelby Butler
• William Blake Butler, PHARMD
• Lydia Butts, PHARMD

• Family Nurse Practitioner in Jackson, TN
• Providers in Jackson, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; 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.