Active NPI
Velma Butcher
- Physical Disabilities Residential Treatment Facility
- Tampa, FL
National Provider Identifier
1477945277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Disabilities Residential Treatment Facility
- License
- 6906543
- Practice address
- 3703 N 55TH St
Tampa, FL 33619-1425 - Phone
- (813) 381-9726
- Fax
- (813) 412-4396
- NPI assigned
- Mar 3, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Disabilities Residential Treatment Facility | 320700000X | 6906543 | FL | Primary |
Addresses
Primary practice location
3703 N 55TH St
Tampa, FL 33619-1425
Mailing address
3703 N 55TH St
Tampa, FL 33619-1425
Phone (813) 381-9726
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010976200 | Medicaid | FL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6906543 | FL | MD | Physical Disabilities Residential Treatment Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425340800000",
"number": "1477945277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3703 N 55TH ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336191425",
"telephone_number": "813-381-9726",
"fax_number": "813-412-4396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3703 N 55TH ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336191425",
"telephone_number": "813-381-9726",
"fax_number": "813-412-4396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTCHER",
"first_name": "VELMA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-03",
"last_updated": "2015-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "320700000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Physical Disabilities",
"state": "FL",
"license": "6906543",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010976200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.