Stacey Maureen Butters, CNA
Individual provider Active NPI Personal Care Attendant · Mekinock, ND
NPI 1619640992 · NPPES record last updated Aug 1, 2021
Key facts
- NPI
- 1619640992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 1988 23Rd Ave NE
Mekinock, ND 58258-9601 - Phone
- (701) 610-3448
- NPI assigned
- Aug 1, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
1988 23Rd Ave NE
Mekinock, ND 58258-9601
Mailing address
1988 23Rd Ave NE
Mekinock, ND 58258-9601
Phone (701) 610-3448
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Mekinock | Direct |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.