Stephanie Ann Butler Flake, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R885662 Issued in MS

Practice address

2100 E Chambers Dr
Booneville, MS 38829-8938

Phone

(662) 728-3174

Fax

(662) 728-3175

NPI assigned

Oct 24, 2011

Last updated

Oct 24, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Stephanie Ann Butler Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319414400000",
    "number": "1841576766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 839",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388350839",
            "telephone_number": "662-286-9883",
            "fax_number": "662-286-9836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 E CHAMBERS DR",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388298938",
            "telephone_number": "662-728-3174",
            "fax_number": "662-728-3175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER FLAKE",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-24",
        "last_updated": "2011-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "R885662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "BUTLER",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brandon Johnson Booneville Anesthesia Services
• Christy Brantley
• Karen C Breaux, LPTA
• Amanda Brock, PHARMD
• Carrie Ann Bullock
• Hanna Byrd, CFNP
• Clifton C Cartwright, M.D.
• Clifton Wesley Cartwright, FNP-BC
• Pam Castle, PCMHT
• Catherine Johnson Mincy, DDS

• Registered Nurse in Booneville, MS
• Providers in Booneville, MS by specialty
• Registered Nurse in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; 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.