Mackenzie Butler, DNP, RN

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

R220419-2 Issued in MN

Practice address

1406 6TH Ave N
Saint Cloud, MN 56303-1901

Phone

(320) 251-2700

NPI assigned

Aug 11, 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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1691712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1891478210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9574 183RD AVE SE",
            "city": "BECKER",
            "state": "MN",
            "postal_code": "553088572",
            "telephone_number": "320-815-7352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 6TH AVE N",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031901",
            "telephone_number": "320-251-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "MACKENZIE",
        "credential": "DNP, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-11",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "MN",
            "license": "R220419-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla Butenhoff, OTR/L CHT
• Allen J Butkowski, RN, CRNA
• Amanda Butler, RN
• Chad Richard Butler
• Laracious K. Butler
• Michael Kevin Butts, MD
• Joia Byrnes Tellez
• Molly Callahan, RN
• Todd Christian Callan, PT
• Ellen Janice Calvert, MS LP LICSW LADC

• Medical-Surgical Registered Nurse in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Medical-Surgical Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.