Lydia M Butler

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN368808 Issued in OH

Practice address

1729 Duncan Rd # a
Toledo, OH 43613-5205

Phone

(267) 298-7172

NPI assigned

Apr 15, 2024

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

Other names 1

• Lydia M Bush Former name

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": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1669226999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 DUNCAN RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436135205",
            "telephone_number": "267-298-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 DUNCAN RD # A",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436135205",
            "telephone_number": "267-298-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "LYDIA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN368808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYDIA",
            "last_name": "BUSH",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mark Bustillo, DO
• Candilee Butler, MD
• Cayla Butler
• Chrystal Butler
• Latrell Renee Butler
• Paul Butler
• Skylar Butler
• Stephanie Butler, CNP
• Tamika Butler, LSW
• Theresa Butler, M.ED., LPCC-S, LSW

• Registered Nurse in Toledo, OH
• Providers in Toledo, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.