Active NPI
John Matthew Butner, BS
- Case Manager/Care Coordinator
- Tullahoma, TN
National Provider Identifier
1417224635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1905 N Jackson St Ste 930
Tullahoma, TN 37388-8243 - Phone
- (931) 461-1300
- NPI assigned
- Nov 17, 2011
- Last updated
- Nov 17, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | TN | Primary |
Addresses
Primary practice location
1905 N Jackson St Ste 930
Tullahoma, TN 37388-8243
Mailing address
76 Manda Stacy Rd
Decherd, TN 37324-4342
Phone (931) 703-2864
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
- Bachelor of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321488000000",
"number": "1417224635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76 MANDA STACY RD",
"city": "DECHERD",
"state": "TN",
"postal_code": "373244342",
"telephone_number": "931-703-2864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1905 N JACKSON ST STE 930",
"city": "TULLAHOMA",
"state": "TN",
"postal_code": "373888243",
"telephone_number": "931-461-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTNER",
"first_name": "JOHN",
"middle_name": "MATTHEW",
"name_prefix": "Mr.",
"credential": "BS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-17",
"last_updated": "2011-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "TN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tullahoma, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.