Jarryd William Butler, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1421 Nelson St Unit B232
Lakewood, CO 80215-4552

Phone

(303) 887-7022

NPI assigned

Nov 4, 2022

Last updated

Feb 15, 2023By the provider in NPPES

Sex

Male

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

Enrolled in WY

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

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Glenrock Hospital DistrictGroup PAC ID 8527976828, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Glenrock Hospital District

  dba glenrock health center

  • Rural Health Clinic/Center
  • Glenrock, WY
  • NPI 1093758161
  Medicare reassignment Care Compare group
• Glenrock Hospital District

  dba glenrock health center

  • Clinical Medical Laboratory
  • Glenrock, WY
  • NPI 1437294972
  NPD

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1902513336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 NELSON ST UNIT B232",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802154552",
            "telephone_number": "303-887-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 NELSON ST UNIT B232",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802154552",
            "telephone_number": "303-887-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "JARRYD",
        "middle_name": "WILLIAM",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-04",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Maria Bustos, N/A
• Katherine Butcher, NP
• Kayleen A Butcher, RPH
• Maria Elena Butler Ballona
• Benjamin Chase Butler, DDS
• Nancy A Butler, APRN, PPCNP-BC
• Susan Elizabeth Butts, RN
• Cassandra M. Buzard, RN
• Jessica Byers, RDN, CDCES
• Tykeema Bynum

• Physician Assistant in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.