Tanisha Butler, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN286190 Issued in GA

Practice address

605 Stedman Cir
McDonough, GA 30253-5947

Phone

(404) 910-8785

NPI assigned

Jun 1, 2020

Sex

Female

Sole proprietor

Yes

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": "1590969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1659995082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 POSTMASTER DR UNIT 3121",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302532829",
            "telephone_number": "404-910-8785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 STEDMAN CIR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302535947",
            "telephone_number": "404-910-8785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "TANISHA",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-01",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN286190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichelle Burrison, PHARMD
• Nicole Annette Busby
• Hector Martin Bush, D.M.D.
• Jenkins B Bush, MD
• Amanda Butler, FNP-C
• Lisa Neff Butters, PA-C
• Trystan Byess
• Teneka Byrd
• Isaura Cabrera
• Ashely Nicole Cain, BCBA, LBA

• Registered Nurse in McDonough, GA
• Providers in McDonough, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; 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.