Elizabeth D Butka, RE

Primary specialty

SpecialistTaxonomy code 174400000X

License

2704056576 Issued in MI

Practice address

3830 Packard St Ste 270
Ann Arbor, MI 48108-2276

Phone

(313) 999-3796

Fax

(734) 971-7754

NPI assigned

Sep 11, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1609653112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 PACKARD ST STE 270",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082276",
            "telephone_number": "313-999-3796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 PACKARD ST STE 270",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082276",
            "telephone_number": "313-999-3796",
            "fax_number": "734-971-7754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTKA",
        "first_name": "ELIZABETH",
        "middle_name": "D",
        "credential": "RE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "2704056576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ginette Vachon Busschots, MD
• Cristina Bustamante, PA-C
• Jessica Rena Bustamante, RN
• Serah M Busu-Sanga, PMHNP-BC
• Jennifer Lynn Butcher, PHD
• Alyssa Nicole Butler, MSW
• Barbara Bernard Butler, PT
• Casey Butler, MSW
• Kristen Butler
• Madison Butler, MD

• Specialist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.