Individual provider Active NPI

Mithra Butler, FNP-C

  • Family Nurse Practitioner
  • Harvey, LA
National Provider Identifier
1376901850
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP08649 Issued in LA
Practice address
1816 Industrial Blvd
Harvey, LA 70058-2314
Phone
(504) 366-7638
Fax
(504) 324-7791
NPI assigned
Jan 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP08649 LA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP08649 LA

Addresses

Primary practice location

1816 Industrial Blvd
Harvey, LA 70058-2314

Mailing address

1816 Industrial Blvd
Harvey, LA 70058-2314
Phone (504) 366-7638

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
I20170613001939 LA Practitioner - Nurse Practitioner 3577831635 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excelth, IncorporatedGroup PAC ID 9830364629, shared by 4 NPIs, 17 clinicians

Practice addresses (Care Compare)

6600 Franklin Ave
Suite a
New Orleans, LA 70122-5719
Phone (504) 620-9868

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana State University School of Medicine in New Orleans Faculty CurrentSince Apr 22, 2017 Accepting new patients
Ochsner Clinic LLC CurrentSince Jul 29, 2019 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Clinic LLC CurrentSince Jul 29, 2019 Accepting new patients
Van Meter Emergency Physicians Inc. Apmc CurrentSince Jan 1, 2018 Accepting new patients
Excelth, Incorporated Past Accepting new patients
Excelth, Incorporated Past Accepting new patients

Locations

95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800

52579 Highway 51 S
Independence, LA 70443
Phone (985) 878-1349

12895 Highway 90
Ste H
Luling, LA 70070
Phone (985) 331-9400

2215 Veterans Memorial Blvd
Metairie, LA 70002
Phone (504) 838-3524

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

Organizations & group practices 7

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": "1454025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1376901850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 INDUSTRIAL BLVD",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700582314",
            "telephone_number": "504-366-7638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 INDUSTRIAL BLVD",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700582314",
            "telephone_number": "504-366-7638",
            "fax_number": "504-324-7791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "MITHRA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-29",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08649",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP08649",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvey, LA

Sources for this page

Verify at the official NPI Registry.