Active NPI
Patricia Kern-Butler, P.A.-C
- Physician Assistant
- Addison, TX
National Provider Identifier
1669447405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA00699
- Practice address
- 15800 Spectrum Dr Apt 1120
Addison, TX 75001-6368 - Phone
- (210) 213-1796
- NPI assigned
- Feb 22, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA00699 | TX | Primary |
Addresses
Primary practice location
15800 Spectrum Dr Apt 1120
Addison, TX 75001-6368
Mailing address
2304 Century Center Blvd
Irving, TX 75062-4906
Phone (972) 721-8109
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86N294 | Other | TX | BCBS |
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)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medicine Associates | Physician Assistant | Past | Accepting new patients |
| Greater San Antonio Emergency Physicians, PA | Past | Accepting new patients | |
| Citimed, P.a. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Arlington, TX
- NPI 1487823316
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1245313329
Physician Assistant
-
- Emergency Medicine Physician
- San Antonio, TX
- NPI 1134184831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403481600000",
"number": "1669447405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2304 CENTURY CENTER BLVD",
"city": "IRVING",
"state": "TX",
"postal_code": "750624906",
"telephone_number": "972-721-8109",
"fax_number": "972-721-8999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15800 SPECTRUM DR APT 1120",
"city": "ADDISON",
"state": "TX",
"postal_code": "750016368",
"telephone_number": "210-213-1796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERN-BUTLER",
"first_name": "PATRICIA",
"name_prefix": "Ms.",
"credential": "P.A.-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-22",
"last_updated": "2014-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA00699",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "86N294",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Addison, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.