Individual provider Active NPI

Allison Anne Butrie, PA-C

  • Medical Physician Assistant
  • Palmerton, PA
National Provider Identifier
1386280071
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
OA005070 Issued in PA
Practice address
528 Delaware Ave
Palmerton, PA 18071-1911
Phone
(610) 900-4950
NPI assigned
Nov 18, 2019
Last updated
Apr 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA061231 PA
Medical Physician Assistant 363AM0700X OA005070 PA Primary

Addresses

Primary practice location

528 Delaware Ave
Palmerton, PA 18071-1911

Mailing address

226 N 1St St
Lehighton, PA 18235-1515
Phone (570) 249-0229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20191220000979 PA Practitioner - Physician Assistant 2163856337 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1210 S Cedar Crest Blvd
Allentown, PA 18103-6235
Phone (610) 402-3888

200 Schuylkill Medical PLZ
Pottsville, PA 17901-3660
Phone (570) 621-9270

384 Airport Rd
Hazle Township, PA 18202-3325
Phone (570) 861-8717

528 Delaware Ave
Palmerton, PA 18071-1911
Phone (610) 900-4950

5649 Wynnewood Dr
Laurys Station, PA 18059-1124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA061231PAMDMedical Physician Assistant
OA005070PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Schuylkill Health System Medical Group, Inc. CurrentSince Jul 1, 2021 Accepting new patients
Lehigh Valley Physician Group CurrentSince Dec 16, 2019 Accepting new patients
Lehigh Valley Physician Group CurrentSince Dec 16, 2019 Accepting new patients
Family Care Centers Inc CurrentSince Sep 12, 2023 Accepting new patients
Family Care Centers Inc. CurrentSince Sep 12, 2023 Accepting new patients
Pulmonary Associates PC Past Accepting new patients

Locations

500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330

384 Airport Rd
Hazle Township, PA 18202
Phone (570) 501-1242

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

200 Schuylkill Medical Plz
Pottsville, PA 17901
Phone (570) 621-9200

200 Schuylkill Medical Plz
Ste 200
Pottsville, PA 17901

700 Schuylkill Manor Rd
Ste 3
Pottsville, PA 17901
Phone (570) 621-4440

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1386280071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 N 1ST ST",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182351515",
            "telephone_number": "570-249-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 DELAWARE AVE",
            "city": "PALMERTON",
            "state": "PA",
            "postal_code": "180711911",
            "telephone_number": "610-900-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTRIE",
        "first_name": "ALLISON",
        "middle_name": "ANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-18",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA061231",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "OA005070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmerton, PA

Sources for this page

Verify at the official NPI Registry.