Individual provider Active NPI

Kimberly P Butler, RN

  • Registered Nurse
  • Plaquemine, LA
National Provider Identifier
1558031120
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN123888 Issued in LA
Practice address
24705 Plaza Dr
Plaquemine, LA 70764-6827
Phone
(225) 687-9021
NPI assigned
Sep 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN123888 LA Primary

Addresses

Primary practice location

24705 Plaza Dr
Plaquemine, LA 70764-6827

Mailing address

24531 Pecan Meadow Dr
Plaquemine, LA 70764-6055
Phone (225) 773-4491

Other practice location 1

2828 Hospital Road
New Roads, LA 70760
Phone (225) 638-7320

Other practice location 2

353 N 12th St
Baton Rouge, LA 70802-4612
Phone (225) 242-4861

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kimberly.butler@la.gov Direct

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

LicenseStateTypeSpecialty
RN123888LAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana Department of Health - Office of Public Health PastSince Sep 23, 2021 Accepting new patients

Organizations & group practices 1

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": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1558031120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24531 PECAN MEADOW DR",
            "city": "PLAQUEMINE",
            "state": "LA",
            "postal_code": "707646055",
            "telephone_number": "225-773-4491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24705 PLAZA DR",
            "city": "PLAQUEMINE",
            "state": "LA",
            "postal_code": "707646827",
            "telephone_number": "225-687-9021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2828 Hospital Road",
            "address_purpose": "LOCATION",
            "city": "New Roads",
            "state": "LA",
            "postal_code": "70760",
            "country_code": "US",
            "telephone_number": "225-638-7320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "353 N 12th St",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708024612",
            "country_code": "US",
            "telephone_number": "225-242-4861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "KIMBERLY",
        "middle_name": "P",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN123888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kimberly.butler@la.gov",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "24705 Plaza Dr",
            "city": "Plaquemine",
            "state": "LA",
            "country_code": "US",
            "postal_code": "707646827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plaquemine, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.