Diana Lucille Butler, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

125964 Issued in MO

Practice address

13190 S Outer 40 Rd
Town and Country, MO 63017-5917

Phone

(573) 355-3871

NPI assigned

Jun 25, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1639749328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13190 S OUTER 40 RD",
            "city": "TOWN AND COUNTRY",
            "state": "MO",
            "postal_code": "630175917",
            "telephone_number": "573-355-3871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13190 S OUTER 40 RD",
            "city": "TOWN AND COUNTRY",
            "state": "MO",
            "postal_code": "630175917",
            "telephone_number": "573-355-3871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "DIANA",
        "middle_name": "LUCILLE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "125964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "diana.butler@lssliving.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13190 S Outer 40 Rd",
            "city": "Town and Country",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630175917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jordan Black, CPNP-PC
• Lauren Nicole Bremerman, DC
• Gayle Donette Bridgham, PT
• Jasmine Brown, MSW, LCSW
• Katie Bublis
• Brittany Caputo, OD
• Kimberly Dawn Carnal, RN
• Kristen Carothers, MSW
• Cedar Grove Counseling, LLC
• Center for Surgical Excellence, LLC

• All providers in Town and Country, MO
• Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.