Active NPI
Bonnie J Butler, HOME HEALTH AID
- Home Health Aide
- Vero Beach, FL
National Provider Identifier
1659677953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 603 Tangelo Circle SW
Vero Beach, FL 32966 - Phone
- (772) 643-4029
- Fax
- (776) 567-5086
- NPI assigned
- Feb 3, 2011
- Last updated
- Feb 3, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | FL | Primary |
Addresses
Primary practice location
603 Tangelo Circle SW
Vero Beach, FL 32966
Mailing address
PO Box 233
Vero Beach, FL 32961
Phone (776) 643-4029
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296691200000",
"number": "1659677953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 233",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "32961",
"telephone_number": "776-643-4029",
"fax_number": "776-567-5086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 TANGELO CIRCLE SW",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "32966",
"telephone_number": "772-643-4029",
"fax_number": "776-567-5086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "BONNIE",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "HOME HEALTH AID",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-03",
"last_updated": "2011-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.