Individual provider Active NPI

Kathleen Victoria Butler, MD

  • Pediatrics Physician
  • Georgetown, TX
National Provider Identifier
1962490870
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
L1537 Issued in TX
Practice address
2423 Williams Dr Ste 107
Georgetown, TX 78628-3269
Phone
(877) 800-5722
NPI assigned
Oct 13, 2005
Last updated
Jun 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X L1537 TX Primary

Addresses

Primary practice location

2423 Williams Dr Ste 107
Georgetown, TX 78628-3269

Mailing address

2423 Williams Dr Ste 107
Georgetown, TX 78628-3269
Phone (877) 800-5722

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kathleen.butler.p1@direct.lscctx.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070717000421 TX Practitioner - Pediatric Medicine 7214037456 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L1537TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lone Star Circle of Care CurrentSince Sep 20, 2009 Accepting new patients
Lone Star Circle of Care CurrentSince Sep 20, 2009 Accepting new patients
Lone Star Circle of Care Pediatrics Current Accepting new patients
Lone Star Circle of Care Past Accepting new patients

Locations

1221 W Ben White Blvd
Ste 200B
Austin, TX 78704
Phone (512) 524-9249

205 E University Ave
Ste 200
Georgetown, TX 78626
Phone (512) 686-0207

2423 Williams Dr
Georgetown, TX 78628
Phone (512) 341-8908

2423 Williams Dr
Ste 107
Georgetown, TX 78628
Phone (512) 686-0207

701 E University Ave
Georgetown, TX 78626
Phone (512) 863-9208

123 Ed Schmidt Blvd
Ste 140
Hutto, TX 78634
Phone (806) 786-2795

Interoperability endpoints

  • Direct secure messaging: kathleen.butler.1@29821.direct.athenahealth.com
  • Direct secure messaging: kathleen.butler.p1@direct.lscctx.nextgenshare.com

Ownership & related parties

All facility ownership & control disclosures 25

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lone Star Circle of Care at Round Rock Health ClinicRound Rock, TX, CCN 671863 Federally qualified health center W-2 Managing Employee Jun 1, 2014
Lone Star Circle of Care at Ben White Health ClinicAustin, TX, CCN 671904 Federally qualified health center W-2 Managing Employee Jun 1, 2014
Lone Star Circle of Care at Lake Aire Medical CenterGeorgetown, TX, CCN 671936 Federally qualified health center W-2 Managing Employee Jun 1, 2014
Lone Star Circle of Care at Texas a&M Health Science CenterRound Rock, TX, CCN 671941 Federally qualified health center Corporate Officer
W-2 Managing Employee
Jun 1, 2014
Jun 1, 2014
Lone Star Circle of Care at HuttoHutto, TX, CCN 671950 Federally qualified health center Corporate Officer
W-2 Managing Employee
Jun 1, 2014
Jun 1, 2014
Lone Star Circle of CareKilleen, TX, CCN 671967 Federally qualified health center Corporate Officer
W-2 Managing Employee
Jun 1, 2014
Jun 1, 2014
Lone Star Circle of Care at Harker HeightsHarker Heights, TX, CCN 671969 Federally qualified health center Corporate Officer
W-2 Managing Employee
Jun 1, 2014
Jun 1, 2014
Lone Star Circle of Care at Georgetown Women's CenterGeorgetown, TX, CCN 741808 Federally qualified health center Corporate Officer
W-2 Managing Employee
Jun 1, 2014
Jun 1, 2014
Lone Star Circle of Care at Northwest AustinAustin, TX, CCN 741816 Federally qualified health center Corporate Officer
W-2 Managing Employee
Jun 1, 2014
Jun 1, 2014
Lone Star Circle of CareBastrop, TX, CCN 741883 Federally qualified health center W-2 Managing Employee Jun 1, 2014
Lone Star Circle of Care at StassneyAustin, TX, CCN 741929 Federally qualified health center W-2 Managing Employee Jun 1, 2014
Lone Star Circle of Care at TaylorTaylor, TX, CCN 741964 Federally qualified health center W-2 Managing Employee Jun 1, 2014
Lone Star Circle of Care at CollinfieldAustin, TX, CCN 741982 Federally qualified health center Corporate Officer
W-2 Managing Employee
Jun 1, 2014
Jun 1, 2014
Lone Star Circle of Care at JonestownJonestown, TX, CCN 451047 Federally qualified health center W-2 Managing Employee Jun 1, 2014
Lone Star Circle of Care at El Buen SamaritanoAustin, TX, CCN 451068 Federally qualified health center Corporate Officer
W-2 Managing Employee
Jun 1, 2014
Jun 1, 2014
Lone Star Circle of Care at Cedar ParkCedar Park, TX, CCN 451094 Federally qualified health center Corporate Officer
W-2 Managing Employee
Jun 1, 2014
Jun 1, 2019
Lone Star Circle of Care at GisdGeorgetown, TX, CCN 451133 Federally qualified health center Corporate Officer
W-2 Managing Employee
Jun 1, 2014
Jun 1, 2014
Lone Star Circle of CarePflugerville, TX, CCN 451142 Federally qualified health center Corporate Officer
W-2 Managing Employee
Jun 1, 2014
Jun 1, 2014
Lone Star Circle of Care OB/GYN at Mopac NorthAustin, TX, CCN 451146 Federally qualified health center Corporate Officer
W-2 Managing Employee
Jun 1, 2014
Jun 1, 2014
Lone Star Circle of Care at Oak SpringsAustin, TX, CCN 451182 Federally qualified health center Corporate Officer
W-2 Managing Employee
Jun 1, 2014
Jun 1, 2014
Lone Star Circle of Care Pediatrics at Mopac NorthAustin, TX, CCN 451199 Federally qualified health center Corporate Officer
W-2 Managing Employee
Jun 1, 2014
Jun 1, 2014
Lone Star Circle of Care Adult Medicine at St. JohnAustin, TX, CCN 741120 Federally qualified health center Corporate Officer
W-2 Managing Employee
Jun 1, 2014
Jun 1, 2014
Lone Star Circle of Care at Georgetown DentalGeorgetown, TX, CCN 971038 Federally qualified health center Corporate Officer
W-2 Managing Employee
Jun 1, 2014
Jun 1, 2014
Lone Star Circle of Care at CollinfieldAustin, TX, CCN 971049 Federally qualified health center Corporate Officer
W-2 Managing Employee
Jun 1, 2014
Jun 1, 2014
Lone Star Circle of Care Pediatrics at St. JohnAustin, TX, CCN 971113 Federally qualified health center Corporate Officer
W-2 Managing Employee
Jun 1, 2014
Jun 1, 2014

Owned or controlled facilities with NPI records 22

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 22

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1962490870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 WILLIAMS DR STE 107",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283269",
            "telephone_number": "877-800-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2423 WILLIAMS DR STE 107",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283269",
            "telephone_number": "877-800-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "KATHLEEN",
        "middle_name": "VICTORIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-13",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L1537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kathleen.butler.p1@direct.lscctx.nextgenshare.com",
            "affiliation": "N",
            "address_1": "205 E University Ave",
            "address_2": "Suite 200",
            "city": "Georgetown",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786266821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.