Active NPI
Jennifer Daneen Butts, CRNA, RN
- Certified Registered Nurse Anesthetist
- Placerville, CA
National Provider Identifier
1447701909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 100740
- Practice address
- 4671 Mount Aukum Rd
Placerville, CA 95667-9501 - Phone
- (913) 217-0536
- NPI assigned
- Oct 19, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 803436 | CA | |
| Certified Registered Nurse Anesthetist | 367500000X | 100740 | CA | Primary |
Addresses
Primary practice location
4671 Mount Aukum Rd
Placerville, CA 95667-9501
Mailing address
4671 Mount Aukum Rd
Placerville, CA 95667-9501
Phone (913) 217-0536
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 |
|---|---|---|---|
| 803436 | CA | MD | Critical Care Medicine Registered Nurse |
| 100740 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476835200000",
"number": "1447701909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4671 MOUNT AUKUM RD",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "956679501",
"telephone_number": "913-217-0536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4671 MOUNT AUKUM RD",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "956679501",
"telephone_number": "913-217-0536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTTS",
"first_name": "JENNIFER",
"middle_name": "DANEEN",
"credential": "CRNA, RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-19",
"last_updated": "2016-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "CA",
"license": "803436",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "100740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Placerville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.