Individual provider Active NPI

Michel Butler, AP. DIPL.O.M

  • Acupuncturist
  • Jacksonville Beach, FL
National Provider Identifier
1811536790
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
4123 Issued in FL
Practice address
301 10TH Ave N Ste B
Jacksonville Beach, FL 32250-4798
Phone
(904) 910-8046
NPI assigned
Dec 25, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 4123 FL Primary

Addresses

Primary practice location

301 10TH Ave N Ste B
Jacksonville Beach, FL 32250-4798

Mailing address

301 10TH Ave N Ste B
Jacksonville Beach, FL 32250-4798
Phone (904) 910-8046

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
4123FLMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1577232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1811536790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 10TH AVE N STE B",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322504798",
            "telephone_number": "904-910-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 10TH AVE N STE B",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322504798",
            "telephone_number": "904-910-8046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "MICHEL",
        "credential": "AP. DIPL.O.M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-25",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "4123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.