Individual provider Active NPI

Marcia E Butler, CRNA

  • Certified Registered Nurse Anesthetist
  • Palm Beach Gardens, FL
National Provider Identifier
1477615490
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ANT9252932 Issued in FL
Practice address
3370 Burns Rd
Ste #200
Palm Beach Gardens, FL 33410-4327
Phone
(561) 626-9882
Fax
(561) 626-5811
NPI assigned
Dec 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ANT9252932 FL Primary

Addresses

Primary practice location

3370 Burns Rd
Ste #200
Palm Beach Gardens, FL 33410-4327

Mailing address

804 Scott Nixon Memorial Dr
Augusta, GA 30907-2464
Phone (800) 394-4445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210825000911 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 1759485220 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
ANT9252932FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
ASC Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 6, 2024 Accepting new patients
Gastro Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 25, 2023 Accepting new patients
Dardanelle Regional, LLC CurrentSince Aug 20, 2023 Accepting new patients
Conway Anesthesiology Consultants, P.a. CurrentSince Jan 1, 2023 Accepting new patients
Gastroenterology Associates PA CurrentSince Jan 1, 2025 Accepting new patients
BP Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 15, 2022 Accepting new patients
Anesthesia Assoc. of Palm Beach Gardens, PA Past Accepting new patients

Locations

2302 College Ave
Conway, AR 72034
Phone (501) 329-3831

455 Hogan Ln
Conway, AR 72034
Phone (501) 513-0799

200 N 3rd St
Dardanelle, AR 72834
Phone (479) 229-2827

200 N 3rd St
Ste 1
Dardanelle, AR 72834
Phone (479) 229-6191

3320 Central Ave
Hot Springs, AR 71913
Phone (501) 321-0560

11700 Cantrell Rd
Little Rock, AR 72223
Phone (501) 664-6980

405 N University Ave
Little Rock, AR 72205
Phone (501) 228-4445

4200 N Rodney Parham Rd
Ste 203
Little Rock, AR 72212
Phone (501) 228-4445

405 N University Ave
Ste B
Little Rock, AR 72205
Phone (501) 228-4445

4800 S Hazel St
Pine Bluff, AR 71603
Phone (870) 534-5533

151 E Aspen Ln
Russellville, AR 72802
Phone (479) 967-1117

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477615490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SCOTT NIXON MEMORIAL DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309072464",
            "telephone_number": "800-394-4445",
            "fax_number": "706-434-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3370 BURNS RD",
            "address_2": "STE #200",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104327",
            "telephone_number": "561-626-9882",
            "fax_number": "561-626-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "MARCIA",
        "middle_name": "E",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ANT9252932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.