Cheyanna Butts, CST

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

184735 Issued in IN

Practice address

4011 Gateway Blvd
Newburgh, IN 47630-8947

Phone

(812) 424-9291

Fax

(812) 421-2722

NPI assigned

Sep 26, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Cheyanna Carlisle Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1750108072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 READ ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101739",
            "telephone_number": "812-424-9291",
            "fax_number": "812-421-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 GATEWAY BLVD",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308947",
            "telephone_number": "812-424-9291",
            "fax_number": "812-421-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTS",
        "first_name": "CHEYANNA",
        "credential": "CST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-26",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "IN",
            "license": "184735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHEYANNA",
            "last_name": "CARLISLE",
            "credential": "CST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Madison Burklow, DPT
• Ashley Burns
• Kennady Burns
• Rachel Lauren Burns, NP
• Katherine A Bush, MPT
• Katelyn Marie Cabrillas
• Louis Byron Cady, MD
• Wen Cai, ACNP
• Blair Calhoun
• Jenny Elyse Camacho, M.D.

• Surgical Assistant in Newburgh, IN
• Providers in Newburgh, IN by specialty
• Surgical Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.