Individual provider Active NPI

Amy Butler, FNP

  • Family Nurse Practitioner
  • Blacksburg, VA
National Provider Identifier
1720568637
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024176467 Issued in VA
Practice address
Blue Ridge Cancer Center
2955 Research Drive
Blacksburg, VA 24060
Phone
(540) 381-5291
NPI assigned
Aug 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2018

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 0024176467 VA Primary

Addresses

Primary practice location

Blue Ridge Cancer Center
2955 Research Drive
Blacksburg, VA 24060

Mailing address

582 Hale St
Pearisburg, VA 24134-1355
Phone (540) 921-4626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181114000342 VA Practitioner - Nurse Practitioner 8628322492 Reassigns benefits to 1 organization
I20260512002975 WV Practitioner - Nurse Practitioner 8628322492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oncology and Hematology Associates of Southwest Virginia IncGroup PAC ID 8628053006, 53 clinicians

Practice addresses (Care Compare)

187 Skylar Dr
Lewisburg, WV 24901-9359
Phone (304) 647-3500

2600 Research Dr a
Blacksburg, VA 24060
Phone (540) 381-5291

Hospital & facility affiliations

  • Lewisgale Hospital Montgomery Hospital, Blacksburg, VA, CCN 490110
  • Lewisgale Hospital Pulaski Hospital, Pulaski, VA, CCN 490116
  • Carilion New River Valley Medical Center Hospital, Christiansburg, VA, CCN 490042

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024176467VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology and Hematology Associates of Southwest Virginia, Inc. CurrentSince Nov 1, 2018 Accepting new patients
Oncology and Hematology Associates of Southwest Virginia, Inc. CurrentSince Nov 1, 2018 Accepting new patients

Locations

1710 Whitfield Dr
Bedford, VA 24523
Phone (540) 586-0636

2600 Research Center Dr
#A
Blacksburg, VA 24060
Phone (540) 381-5291

108 Houston St
Ste B
Lexington, VA 24450
Phone (540) 463-2227

1 Arh Ln
Ste 300
Low Moor, VA 24457
Phone (540) 862-6223

2013 Jefferson St SW
Fl 2
Roanoke, VA 24014
Phone (540) 982-0237

2013 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7377

390 S Main St
Ste 103
Rocky Mount, VA 24151
Phone (540) 483-7933

1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400

1995 W Ridge Rd
Wytheville, VA 24382
Phone (276) 223-1983

187 Skylar Dr
Lewisburg, WV 24901
Phone (304) 425-1960

660 New Hope Rd
Princeton, WV 24740
Phone (304) 425-1960

Interoperability endpoints

  • Direct secure messaging: amy.butler@brcc.ikm.direct-ci.com

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 4

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": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1720568637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "582 HALE ST",
            "city": "PEARISBURG",
            "state": "VA",
            "postal_code": "241341355",
            "telephone_number": "540-921-4626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLUE RIDGE CANCER CENTER",
            "address_2": "2955 RESEARCH DRIVE",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "24060",
            "telephone_number": "540-381-5291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "AMY",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024176467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blacksburg, VA

Sources for this page

Verify at the official NPI Registry.