Brooke Alexis Butts

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

Practice address

12504 Birchwood Pike
Harrison, TN 37341-7913

Phone

(304) 270-7279

NPI assigned

Feb 23, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1871292391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12504 BIRCHWOOD PIKE",
            "city": "HARRISON",
            "state": "TN",
            "postal_code": "373417913",
            "telephone_number": "304-270-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12504 BIRCHWOOD PIKE",
            "city": "HARRISON",
            "state": "TN",
            "postal_code": "373417913",
            "telephone_number": "304-270-7279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTS",
        "first_name": "BROOKE",
        "middle_name": "ALEXIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Athome Compassionate Care
• Arthur Wooten Baldwin Jr., DDS
• Amanda Bradbury, PHARM. D.
• Crystal C Branch, APRN
• Catherine D Bussjaeger, PT
• Deana Clardy, OTR/L
• Jennifer Clare, LCSW
• Charity Danielle Clayton, NP-C
• Joycelyn Goolsby Conyers, DPH
• Tyler Dill, DIETITIAN

• All providers in Harrison, TN
• Assistant Behavior Analyst in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.