Mary Butler, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11000587 Issued in FL

Practice address

26750 US Highway 19 N Ste 100
Clearwater, FL 33761-3404

Phone

(727) 726-1460

Fax

(727) 724-9705

NPI assigned

Dec 19, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722

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.

• Total Vitality Medical Group, LLC

  • Family Medicine Physician
  • Clearwater, FL
  • NPI 1376583609
  Medicare reassignment NPD
• Suncoast Total Healthcare LLC

  • Durable Medical Equipment & Medical Supplies
  • Clearwater, FL
  • NPI 1700188927
  NPD

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1760954473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26750 US HIGHWAY 19 N STE 100",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337613404",
            "telephone_number": "727-726-1460",
            "fax_number": "727-724-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26750 US HIGHWAY 19 N STE 100",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337613404",
            "telephone_number": "727-726-1460",
            "fax_number": "727-724-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "MARY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-19",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11000587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Bustamante, DO
• Ariana Butler
• Erin Brantley Butler, PRN
• Kathelia Butler
• Ladonna Nicole Butler, LMHC, CAP
• Morgan Ray Butler
• Ernestine Meshell Butson, MSS, LCSW, BCBA
• Denise Marie Buttacavoli, PHARMD
• Butterfield Neuropsychology, PLLC
• Ann Michele Butterfield, FNP

• Family Nurse Practitioner in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.