Individual provider Active NPI

Marci Kae Buttars, APRN

  • Family Nurse Practitioner
  • Logan, UT
National Provider Identifier
1710294004
Registry record updated Sep 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53488564405 Issued in UT
Practice address
1325 N 600 E
Suite 101
Logan, UT 84341-6738
Phone
(435) 750-5599
Fax
(435) 750-0861
NPI assigned
Sep 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53488564405 UT Primary

Addresses

Primary practice location

1325 N 600 E
Suite 101
Logan, UT 84341-6738

Mailing address

1325 N 600 E
Suite 101
Logan, UT 84341-6738
Phone (435) 750-5599

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

State licenses

LicenseStateTypeSpecialty
53488564405UTMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283904000000",
    "number": "1710294004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 N 600 E",
            "address_2": "SUITE 101",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843416738",
            "telephone_number": "435-750-5599",
            "fax_number": "435-750-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 N 600 E",
            "address_2": "SUITE 101",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843416738",
            "telephone_number": "435-750-5599",
            "fax_number": "435-750-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTARS",
        "first_name": "MARCI",
        "middle_name": "KAE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-08",
        "last_updated": "2010-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "53488564405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; 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.