Active NPI
Tiffany Michelle Butcher, APRN FNP-BC
- Family Nurse Practitioner
- Madison, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 110267
- Practice address
- Boone Memorial Hospital
701 Madison Avenue
Madison, WV 25130 - Phone
- (304) 369-1230
- NPI assigned
- Aug 20, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 110267 | WV | Primary |
Addresses
Primary practice location
Boone Memorial Hospital
701 Madison Avenue
Madison, WV 25130
Mailing address
PO Box 542
Verdunville, WV 25649-0542
Phone (304) 601-2491
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- West Virginia University School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
38 Hospital Dr
Logan, WV 25601-3452
Phone (304) 831-1892
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boone Memorial Hospital, Inc | Current | Accepting new patients | |
| Boone Memorial Hospital, Inc | Current | Accepting new patients | |
| Boone Memorial Hospital, Inc | Current | Accepting new patients | |
| Appalachia Pathology Consultants LLC | Current | Accepting new patients | |
| Boone Memorial Hospital, Inc | Current | Accepting new patients | |
| Logan General Hospital LLC | Current | Accepting new patients | |
| Boone Memorial Hospital, Inc | Current | Accepting new patients |
Locations
1690 Holden Rd
Logan, WV 25601
Phone (304) 239-2147
20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101
38 Hospital Dr
Ste 1A
Logan, WV 25601
Phone (304) 831-1892
38 Hospital Dr
Logan, WV 25601
Phone (304) 792-6282
701 Madison Ave
Madison, WV 25130
Phone (304) 369-1230
660 S Main St
#A
Madison, WV 25130
Phone (304) 369-1230
Organizations & group practices 7
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.
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-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629417600000",
"number": "1639845472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 542",
"city": "VERDUNVILLE",
"state": "WV",
"postal_code": "256490542",
"telephone_number": "304-601-2491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BOONE MEMORIAL HOSPITAL",
"address_2": "701 MADISON AVENUE",
"city": "MADISON",
"state": "WV",
"postal_code": "25130",
"telephone_number": "304-369-1230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTCHER",
"first_name": "TIFFANY",
"middle_name": "MICHELLE",
"credential": "APRN FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-20",
"last_updated": "2021-08-20",
"certification_date": "2021-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "110267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.