Organization Active NPI

Kelechi Butler Certified Registered Nurse Anesthetist, P.C.

  • Certified Registered Nurse Anesthetist
  • Brooklyn, NY
National Provider Identifier
1831607811
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
554549 Issued in NY
Legal business name
KELECHI BUTLER CERTIFIED REGISTERED NURSE ANESTHETIST, P.C.
Practice address
2416 E 15TH St
Brooklyn, NY 11235-3502
Phone
(305) 930-0354
NPI assigned
Jan 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Authorized official

Name
Kelechi Butler, CRNA
Title
Nurse Anesthestist
Phone
(305) 930-0354

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 554549 NY Primary

Addresses

Primary practice location

2416 E 15TH St
Brooklyn, NY 11235-3502

Mailing address

2416 E 15TH St
Brooklyn, NY 11235-3502
Phone (718) 222-5999

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1831607811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 E 15TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353502",
            "telephone_number": "718-222-5999",
            "fax_number": "718-387-6429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 E 15TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353502",
            "telephone_number": "305-930-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELECHI BUTLER CERTIFIED REGISTERED NURSE ANESTHETIST, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-12",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "KELECHI",
        "authorized_official_title_or_position": "NURSE ANESTHESTIST",
        "authorized_official_telephone_number": "305-930-0354",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "554549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.