Beverly Diann Butler, APRN, DNP, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP142397 Issued in TX

Practice address

6713 Old Jacksonville Hwy Ste 204
Tyler, TX 75703-0753

Phone

(903) 630-2197

Fax

(903) 470-7372

NPI assigned

Jun 7, 2019

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Perioperative and Transitional Medicine Group PLLCGroup PAC ID 7214245646, 34 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Butler Family Practice PLLC

  • Family Nurse Practitioner
  • Tyler, TX
  • NPI 1447807136
  Medicare reassignment Authorized official
• Perioperative and Transitional Medicine Group PLLC

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1124495718
  Care Compare group
• Healthcare Plus Limited Liability Company

  • Specialist
  • Metairie, LA
  • NPI 1063927465

  Nurse Practitioner

  NPD
• Wound Management Specialists, LLC

  • Nurse Practitioner
  • Flowood, MS
  • NPI 1972150084

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1891354494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6713 OLD JACKSONVILLE HWY STE 204",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757030753",
            "telephone_number": "903-630-2197",
            "fax_number": "903-470-7372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6713 OLD JACKSONVILLE HWY STE 204",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757030753",
            "telephone_number": "903-630-2197",
            "fax_number": "903-470-7372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "BEVERLY",
        "middle_name": "DIANN",
        "name_prefix": "Dr.",
        "credential": "APRN, DNP, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-07",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP142397",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP142397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren N Bush
• Adrianna Bussell, NP
• Butler Family Practice PLLC
• Adrian Lee Butler, MD
• Baylie Butler, PHARMD
• Latoya Butler
• Nicole Butler
• Angela Hope Buttram, BSN,MSN,FNP-C
• Jonathan William Buttram, MD
• Thomas M Buzbee Jr., M.D.

• Family Nurse Practitioner in Tyler, TX
• Providers in Tyler, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.