Carla E Butcher, FNP

Key facts

NPI

1609424506

Entity type

Individual (NPI type 1)

Primary specialty

Family Nurse Practitioner 363LF0000X

License

4704232588 (MI)

Practice address

51538 Silver Bell Dr
Macomb, MI 48042-4348

Phone

(313) 627-4743

NPI assigned

Sep 4, 2019

Sex

Female

Sole proprietor

Yes

Organizations & group practices 5

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.

• St Mary Mercy Physician Practices Multi-Specialty Clinic/Center · Livonia, MI · NPI 1568630077
  Medicare reassignment Care Compare group NPD MI
• St Mary Mercy Physician Practices Urgent Care Clinic/Center · Livonia, MI · NPI 1184154544
  NPD
• St Mary Mercy Physician Practices Family Medicine Physician · Detroit, MI · NPI 1801303086
  NPD
• Institute for Population Health Public Health or Welfare Agency · Detroit, MI · NPI 1982036828
  NPD (past)
• Institute for Population Health Inc. Federally Qualified Health Center (FQHC) · Detroit, MI · NPI 1174081277
  NPD (past)

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Mary Mercy Physician Practices (9 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Certified Nurse Practitioner, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cbutcher3049574@direct.trinity-health.org
• Direct secure messaging: carla.butcher.1@20091.direct.athenahealth.com
• Direct secure messaging: carla.butcher.1@18430.direct.athenahealth.com

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 4, 2019.

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1609424506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51538 SILVER BELL DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480424348",
            "telephone_number": "313-627-4743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51538 SILVER BELL DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480424348",
            "telephone_number": "313-627-4743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTCHER",
        "first_name": "CARLA",
        "middle_name": "E",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704232588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Macomb, MI · Family Nurse Practitioner in Michigan