Theresa Butler

Primary specialty

HomemakerTaxonomy code 376J00000X

License

7610393 Issued in OH

Practice address

4506 Honeymoon Dr
North Canton, OH 44720-1128

Phone

(330) 896-1739

NPI assigned

Oct 4, 2020

Last updated

Oct 4, 2020By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1601769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601769600000",
    "number": "1861099780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8220 RICH AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447204937",
            "telephone_number": "330-447-5149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4506 HONEYMOON DR",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447201128",
            "telephone_number": "330-896-1739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "THERESA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-04",
        "last_updated": "2020-10-04",
        "certification_date": "2020-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "OH",
            "license": "7610393",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.127636.MEDS-IV",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica C Buskirk, COTA/L
• Mariah K Butcher, SLP
• Brett A Butler, MD
• Paula L Butler, OTR/L
• Rebecca A Butler, OTR/L
• Jessica Love Byas, MD
• Andrea Joy Byler, PTA
• Kelly Marie Byrer, AU.D.
• Andriana Byrnes
• Niki Caban, LPTA

• Homemaker in North Canton, OH
• Providers in North Canton, OH by specialty
• Homemaker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.