Annelore Fontane Butler, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101057817 Issued in VA

Practice address

2100 Lynnhaven Pkwy
Siute 201
Virginia Beach, VA 23456-1492

Phone

(757) 953-6708

NPI assigned

Jun 30, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Annelore Fontane Enyart Former name

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276646400000",
    "number": "1487651980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 ELIZABETH PL",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237042408",
            "telephone_number": "757-397-7283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 LYNNHAVEN PKWY",
            "address_2": "SIUTE 201",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234561492",
            "telephone_number": "757-953-6708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "ANNELORE",
        "middle_name": "FONTANE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-30",
        "last_updated": "2010-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101057817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNELORE",
            "last_name": "ENYART",
            "middle_name": "FONTANE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Bussey
• Kelly Leigh Bussey, D.D.S.
• William Bussey, D.D.S.
• Ariane Joy Butangen
• Amy Denise Butler, RDN
• Arianna Butler
• Carla Knoll Butler, LCSW
• Cassidy Kaitlyn Butler
• Heather Louise Butler, LPC
• Jacqueline Denise Butler, LCSW

• Pediatrics Physician in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.