Individual provider Active NPI

Clara Butler

  • Registered Nurse
  • Bartlett, TN
National Provider Identifier
1780125815
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
137240 Issued in TN
Practice address
4210 Altruria Rd Ste 102
Bartlett, TN 38135-9241
Phone
(901) 314-3112
Fax
(901) 266-2435
NPI assigned
Mar 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 137240 TN Primary
Community Health Registered Nurse 163WC1500X 137240 TN

Addresses

Primary practice location

4210 Altruria Rd Ste 102
Bartlett, TN 38135-9241

Mailing address

4210 Altruria Rd Ste 102
Bartlett, TN 38135-9241
Phone (901) 314-3112

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
137240TNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Clara Butler Nursing and Personal Care Service Inc. for Aging and Disa Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488931200000",
    "number": "1780125815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 ALTRURIA RD STE 102",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381359241",
            "telephone_number": "901-314-3112",
            "fax_number": "901-266-2435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 ALTRURIA RD STE 102",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381359241",
            "telephone_number": "901-314-3112",
            "fax_number": "901-266-2435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "CLARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-08",
        "last_updated": "2017-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "137240",
            "primary": true
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "TN",
            "license": "137240",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; 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.