Carol O Butler

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT80119 Issued in TX

Practice address

1700 Golden Ave
Bay City, TX 77414-3122

Phone

(979) 245-2008

Fax

(979) 217-8829

NPI assigned

Dec 20, 2022

Last updated

Dec 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Matagorda Episcopal Health Outreach Program

  • Federally Qualified Health Center (FQHC)
  • Palacios, TX
  • NPI 1467009092
  NPD (past)

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

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1871205989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 AVENUE F",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "77414",
            "telephone_number": "979-245-2008",
            "fax_number": "979-217-8829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 GOLDEN AVE",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774143122",
            "telephone_number": "979-245-2008",
            "fax_number": "979-217-8829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "CAROL",
        "middle_name": "O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-20",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT80119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIETICIAN",
            "identifier": "DT80119",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Oscar Boysen
• Aaron Bridwell, D.C.
• Earl Stanley Brown, OD
• Rhonda Vinson Brown, FNP
• Shelly Laree Bullock
• Julie Bynum, PHARM D
• Sandi Lynn Bystrek, OT
• Nicolas Castro Pinzon
• Irina Catanescu, DO
• Brittney L Chaka

• Registered Dietitian in Bay City, TX
• Providers in Bay City, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.