Active NPI
Elmon Butts
- Attendant Care Provider
- Fort Pierce, FL
National Provider Identifier
1811576184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Attendant Care Provider
- Practice address
- 9446 Windrift Cir
Fort Pierce, FL 34945-3304 - Phone
- (772) 559-8771
- NPI assigned
- Apr 5, 2021
- Last updated
- Apr 5, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | NU | ||
| Adult Companion | 372600000X | NU | ||
| Attendant Care Provider | 3747A0650X | NU | Primary | |
| Home Health Aide | 374U00000X | NU | ||
| Driver | 172A00000X | NU | ||
| Case Manager/Care Coordinator | 171M00000X | NU |
Addresses
Primary practice location
9446 Windrift Cir
Fort Pierce, FL 34945-3304
Mailing address
9446 Windrift Cir
Fort Pierce, FL 34945-3304
Phone (772) 559-8771
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evol Enterprises | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617580800000",
"number": "1811576184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9446 WINDRIFT CIR",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349453304",
"telephone_number": "772-559-8771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9446 WINDRIFT CIR",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349453304",
"telephone_number": "772-559-8771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTTS",
"first_name": "ELMON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-04-05",
"last_updated": "2021-04-05",
"certification_date": "2021-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.