Individual provider Active NPI

Kimberley D Butts, A.P.R.N.

  • Nurse Practitioner
  • West Chester, OH
National Provider Identifier
1679914832
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
15410-NP Issued in OH
Practice address
4870 Wunnenberg Way
West Chester, OH 45069
Phone
(513) 860-4600
Fax
(513) 860-9059
NPI assigned
Jul 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3008124 KY
Nurse Practitioner 363L00000X 15410-NP OH Primary

Addresses

Primary practice location

4870 Wunnenberg Way
West Chester, OH 45069

Mailing address

6578 Branch Hill Guinea Pike
Loveland, OH 45140-9163
Phone (513) 678-5626

Other practice location 1

935 State Route 28
Milford, OH 45150-1957
Phone (513) 831-5955

Other practice location 2

935 State Route 28
Milford, OH 45150-1957
Phone (513) 831-5955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140806000430 OH Practitioner - Nurse Practitioner 2062639610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CG Medical Associates IncGroup PAC ID 6608052196, 171 clinicians

Practice addresses (Care Compare)

3290 Village Dr
Middletown, OH 45005-5692
Phone (513) 422-7703

Hospital & facility affiliations

  • Bethesda North Hospital, Cincinnati, OH, CCN 360179
  • West Chester Hospital Hospital, West Chester, OH, CCN 360354
  • Mercy Health - Fairfield Hospital Hospital, Fairfield, OH, CCN 360056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
15410-NPOHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CG Medical Associates Inc CurrentSince Dec 1, 2021 Accepting new patients
Beckett Ridge Family Medicine, Inc. PastSince Jan 1, 2001 Accepting new patients

Locations

650 Sprucewood Ln
Erlanger, KY 41018
Phone (859) 282-6600

7300 Beechmont Ave
Cincinnati, OH 45230
Phone (513) 232-9100

2131 Gateway Dr
Fairborn, OH 45324
Phone (937) 873-9500

3290 Village Dr
Middletown, OH 45005
Phone (513) 422-7703

360 Glensprings Dr
Springdale, OH 45246
Phone (513) 671-5050

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AEJGBA

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1679914832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6578 BRANCH HILL GUINEA PIKE",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451409163",
            "telephone_number": "513-678-5626",
            "fax_number": "513-860-9059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4870 WUNNENBERG WAY",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "45069",
            "telephone_number": "513-860-4600",
            "fax_number": "513-860-9059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "935 State Route 28",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "OH",
            "postal_code": "451501957",
            "country_code": "US",
            "telephone_number": "513-831-5955",
            "fax_number": "513-831-5985",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "935 State Route 28",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "OH",
            "postal_code": "451501957",
            "country_code": "US",
            "telephone_number": "513-831-5955",
            "fax_number": "513-831-5985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTTS",
        "first_name": "KIMBERLEY",
        "middle_name": "D",
        "credential": "A.P.R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-16",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3008124",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "15410-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

Verify at the official NPI Registry.