Eleanor Frances Lustig-Butts, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

089007521N2 PNP PP Issued in OR

Practice address

2310 Mountain View Blvd
Klamath Falls, OR 97601-1134

Phone

(541) 883-3591

Fax

(541) 883-2886

NPI assigned

Oct 5, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 1

Other names 1

• Eleanor Frances Lustig Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902992795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 MOUNTAIN VIEW BLVD",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011134",
            "telephone_number": "541-883-3591",
            "fax_number": "541-883-2886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 MOUNTAIN VIEW BLVD",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011134",
            "telephone_number": "541-883-3591",
            "fax_number": "541-883-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSTIG-BUTTS",
        "first_name": "ELEANOR",
        "middle_name": "FRANCES",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OR",
            "license": "089007521N2 PNP PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013115",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELEANOR",
            "last_name": "LUSTIG",
            "middle_name": "FRANCES",
            "credential": "CPNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Peter L Lusich IV, M.D
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• Amanda L Lybarger
• Joelene Lyons-Reynolds

• Pediatric Nurse Practitioner in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Pediatric Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.