Active NPI
Jimmie K Butts, RN FNP
- Nurse Practitioner
- Cary, NC
National Provider Identifier
1386961316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 0004420
- Practice address
- 100 Halpen Dr
Cary, NC 27513-5667 - Phone
- (919) 380-7551
- NPI assigned
- Apr 30, 2010
- Last updated
- May 13, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0004420 | NC | Primary |
Addresses
Primary practice location
100 Halpen Dr
Cary, NC 27513-5667
Mailing address
100 Halpen Dr
Cary, NC 27513-5667
Phone (919) 380-7551
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0004420 | NC | MD | Nurse Practitioner |
| 200017 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Physicians of Carteret County, PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Morehead City, NC
- NPI 1538108535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273708800000",
"number": "1386961316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 HALPEN DR",
"city": "CARY",
"state": "NC",
"postal_code": "275135667",
"telephone_number": "919-380-7551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HALPEN DR",
"city": "CARY",
"state": "NC",
"postal_code": "275135667",
"telephone_number": "919-380-7551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTTS",
"first_name": "JIMMIE",
"middle_name": "K",
"credential": "RN FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-30",
"last_updated": "2010-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "0004420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.