Active NPI
Eileen Hanson Butcher, PT
- Home Health Agency
- San Ramon, CA
National Provider Identifier
1841379203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- PT 5895
- Practice address
- 12657 Alcosta Blvd
Suite 130
San Ramon, CA 94583-4438 - Phone
- (925) 275-9300
- NPI assigned
- Nov 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | PT 5895 | CA | Primary |
Addresses
Primary practice location
12657 Alcosta Blvd
Suite 130
San Ramon, CA 94583-4438
Mailing address
9429 California Oak Circle
Patterson, CA 95363
Phone (209) 892-6485
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT 5895 | CA | MD | Home Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841379203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9429 CALIFORNIA OAK CIRCLE",
"city": "PATTERSON",
"state": "CA",
"postal_code": "95363",
"telephone_number": "209-892-6485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12657 ALCOSTA BLVD",
"address_2": "SUITE 130",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945834438",
"telephone_number": "925-275-9300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTCHER",
"first_name": "EILEEN",
"middle_name": "HANSON",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": "PT 5895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Ramon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.