Active NPI
Mariah Benson Butcher, FNP-C
- Family Nurse Practitioner
- Ponchatoula, LA
National Provider Identifier
1982339958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 226612
- Practice address
- 180 N 5TH St
Ponchatoula, LA 70454-2532 - Phone
- (985) 370-7546
- NPI assigned
- Jul 22, 2022
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 226612 | LA | Primary |
Addresses
Primary practice location
180 N 5TH St
Ponchatoula, LA 70454-2532
Mailing address
2415 Cato St
Baton Rouge, LA 70808-1418
Phone (985) 974-7099
Other practice location 1
29799 Walker Rd S
Walker, LA 70785-7908
Phone (225) 998-0500
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658448000000",
"number": "1982339958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2415 CATO ST",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708081418",
"telephone_number": "985-974-7099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 N 5TH ST",
"city": "PONCHATOULA",
"state": "LA",
"postal_code": "704542532",
"telephone_number": "985-370-7546"
}
],
"practiceLocations": [
{
"address_1": "29799 Walker Rd S",
"address_purpose": "LOCATION",
"city": "Walker",
"state": "LA",
"postal_code": "707857908",
"country_code": "US",
"telephone_number": "225-998-0500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUTCHER",
"first_name": "MARIAH",
"middle_name": "BENSON",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-22",
"last_updated": "2022-07-22",
"certification_date": "2022-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "226612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponchatoula, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.