Erin Bridget Shine Butler, M.S. ED.

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

7 Tallow LN
Lake Grove, NY 11755-1805

Phone

(631) 944-1057

NPI assigned

Aug 24, 2012

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1345766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1881942852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 TALLOW LN",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117551805",
            "telephone_number": "631-944-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 TALLOW LN",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117551805",
            "telephone_number": "631-944-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINE BUTLER",
        "first_name": "ERIN",
        "middle_name": "BRIDGET",
        "name_prefix": "Mrs.",
        "credential": "M.S. ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-24",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "536555041",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Linda Simpson
• Kuldeep Singh, NURSE PRACTITIONER
• Ghazal Sinha, M.D

• Specialist in Lake Grove, NY
• Providers in Lake Grove, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; 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.