Active NPI
Nikomii Butler, BS
- Other Technician
- Morristown, TN
National Provider Identifier
1912740671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 836 W 1St North St
Morristown, TN 37814-4548 - Phone
- (865) 306-6364
- Fax
- (865) 381-0521
- NPI assigned
- Jun 18, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Primary |
Addresses
Primary practice location
836 W 1St North St
Morristown, TN 37814-4548
Mailing address
836 W 1St North St
Morristown, TN 37814-4548
Phone (865) 306-6364
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parents Helping Intercede in the Lives of Adolescents in North Caro | Current | Accepting new patients |
Locations
836 W 1st North St
Morristown, TN 37814
Phone (423) 581-5342
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Morristown, TN
- NPI 1982044095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718668800000",
"number": "1912740671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "836 W 1ST NORTH ST",
"city": "MORRISTOWN",
"state": "TN",
"postal_code": "378144548",
"telephone_number": "865-306-6364",
"fax_number": "865-381-0521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "836 W 1ST NORTH ST",
"city": "MORRISTOWN",
"state": "TN",
"postal_code": "378144548",
"telephone_number": "865-306-6364",
"fax_number": "865-381-0521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "NIKOMII",
"credential": "BS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-18",
"last_updated": "2024-06-18",
"certification_date": "2024-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morristown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.