Mary Lou Butler

Primary specialty

Chore ProviderTaxonomy code 372500000X

License

IHCP-0973 Issued in SC

Practice address

5 Cogburn CT
Columbia, SC 29229-8075

Phone

(803) 771-6351

Fax

(843) 868-8052

NPI assigned

Dec 30, 2018

Last updated

Dec 30, 2018By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Headstar in Home Health Care LLC

  • Home Health Agency
  • Columbia, SC
  • NPI 1215494224
  NPD (past) Authorized official

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

{
    "created_epoch": "1546128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546128000000",
    "number": "1932671039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 COGBURN CT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292298075",
            "telephone_number": "803-771-6351",
            "fax_number": "843-868-8052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 COGBURN CT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292298075",
            "telephone_number": "803-771-6351",
            "fax_number": "843-868-8052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "MARY",
        "middle_name": "LOU",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-30",
        "last_updated": "2018-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "SC",
            "license": "IHCP-0973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Butler, RMA
• Charles M. Butler, M.D.
• Debra Butler, RN,BSN
• Janelle Marie Butler, LPC
• Lindsay Butler, PTA
• Megan V Butler, PT
• Michelle Butler
• Pierce Day Butler, DMD
• Stephanie Butler, LMSW
• Cassandra Buto-Colletti, DO

• Chore Provider in Columbia, SC
• Providers in Columbia, SC by specialty
• Chore Provider in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2018; 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.