Elizabeth Dawn Butler I

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

1207953 Issued in KY

Practice address

105 Sagasser St
Somerset, KY 42501-1811

Phone

(859) 582-4974

NPI assigned

Aug 7, 2023

Last updated

Aug 7, 2023By 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

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1972286029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SAGASSER ST",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425011811",
            "telephone_number": "859-582-4974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SAGASSER ST",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425011811",
            "telephone_number": "859-582-4974"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Sagasser St",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "KY",
            "postal_code": "425011811",
            "country_code": "US",
            "telephone_number": "859-582-4974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "ELIZABETH",
        "middle_name": "DAWN",
        "name_suffix": "I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "KY",
            "license": "1207953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Burton, BCBA, LBA
• Shianne Autumn Burton, APRN
• Stacey Carroll Burton, PLE
• Cary Busack
• Amber Kaye Bush, CFMP, BFHS
• Johnny Paul Byrd Jr.
• C.a.N. Help, Inc
• Connie Sue Cable, LCSW
• Ronda Cain-Bradshaw, MA CCC/SLP
• Christina Cain, PTA

• Peer Specialist in Somerset, KY
• Providers in Somerset, KY by specialty
• Peer Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.