Patricia Ann Butler, M.S., CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.008575 Issued in IL

Practice address

1391 Feazel Rd
Harrisburg, IL 62946-4694

Phone

(618) 527-3773

NPI assigned

Sep 23, 2011

Last updated

Sep 23, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316736000000",
    "number": "1972886174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1391 FEAZEL RD",
            "city": "HARRISBURG",
            "state": "IL",
            "postal_code": "629464694",
            "telephone_number": "618-527-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1391 FEAZEL RD",
            "city": "HARRISBURG",
            "state": "IL",
            "postal_code": "629464694",
            "telephone_number": "618-527-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-23",
        "last_updated": "2011-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.008575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brookstone Estates of Harrisburg, LLC
• Amanda Jo Brown, NP
• Thomas Bucinski, MD
• Maggie Burgess
• Edward Carl Burtis, FNP-C
• Thomas Butler, CRNA
• Brett Casteel, BA, AAS, COTA/L
• City of Harrisburg (Harrisburg Fire Department)
• Anne Melinda Clayton, LCSW
• Morgan Rachael Colbert, MSW

• Speech-Language Pathologist in Harrisburg, IL
• Providers in Harrisburg, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; 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.