Destiny Butler

Key facts

NPI

1669280251

Entity type

Individual (NPI type 1)

Primary specialty

Personal Care Attendant 3747P1801X

Practice address

17121 N 184TH LN
Surprise, AZ 85374-3977

Phone

(480) 640-1894

NPI assigned

Dec 27, 2024

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 27, 2024.

{
    "created_epoch": "1735257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1669280251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17121 N 184TH LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743977",
            "telephone_number": "480-640-1894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17121 N 184TH LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743977",
            "telephone_number": "480-640-1894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "DESTINY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-27",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

• Courtney Burnett
• Kristen Burnsmith, LPC
• Cassandra Lauren Burruel
• Gerald R. Bush, MD
• Shain Lenae Bussell, CBCS
• Ryan Shelby Butler, LAC
• Emily M Butterworth, MS, CCC-SLP
• Demia Leshay Butts
• Emily L Butts, PHARMD
• By Your Side Health Services PLLC

All providers in Surprise, AZ · Personal Care Attendant in Arizona