Active NPI
J Dennis Butler, CRNP
- Adult Health Nurse Practitioner
- Birmingham, AL
National Provider Identifier
1437179553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 1-032598
- Practice address
- 4704 Cahaba River Rd
Suite 101D
Birmingham, AL 35243-2344 - Phone
- (205) 739-2266
- Fax
- (205) 739-2335
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 1-032598 | AL | Primary |
Addresses
Primary practice location
4704 Cahaba River Rd
Suite 101D
Birmingham, AL 35243-2344
Mailing address
1919 Oxmoor Rd
Ste 276
Homewood, AL 35209-3502
Phone (205) 879-8294
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500021680 | Other | AL | RAILROAD MEDICARE |
| 051551257 | Medicaid | AL | |
| 051505975 | Other | AL | BLUE CROSS |
| 07501759 | Other | MS | MISSISSIPPI MEDICAID |
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)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-032598 | AL | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489449600000",
"number": "1437179553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1919 OXMOOR RD",
"address_2": "STE 276",
"city": "HOMEWOOD",
"state": "AL",
"postal_code": "352093502",
"telephone_number": "205-879-8294",
"fax_number": "205-879-8259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4704 CAHABA RIVER RD",
"address_2": "SUITE 101D",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352432344",
"telephone_number": "205-739-2266",
"fax_number": "205-739-2335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "J",
"middle_name": "DENNIS",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2017-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "AL",
"license": "1-032598",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "500021680",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051551257",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "051505975",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MISSISSIPPI MEDICAID",
"identifier": "07501759",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.