Active NPI
John Thomas Butchko, NP
- Adult Medicine Physician
- Parker, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- APN.0997284-NP
- Practice address
- 12230 Lioness Way
Parker, CO 80134-5603 - Phone
- (720) 644-9355
- NPI assigned
- Aug 29, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | APN.0997284-NP | CO | Primary |
Addresses
Primary practice location
12230 Lioness Way
Parker, CO 80134-5603
Mailing address
5023 W 120TH Ave Ste 312
Broomfield, CO 80020-5606
Phone (720) 644-9355
Other practice location 1
130 Marvin Rd SE Ste 111
Lacey, WA 98503-6101
Phone (360) 357-9392
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5821 188TH St SW
Lynnwood, WA 98037-4304
Phone (505) 413-3719
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cura Healthcare | Current | Accepting new patients |
Locations
5821 188th St SW
Lynnwood, WA 98037
Phone (425) 776-5512
7683 SE 27th St
Mercer Island, WA 98040
Phone (206) 228-8530
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653955200000",
"number": "1992472633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5023 W 120TH AVE STE 312",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800205606",
"telephone_number": "720-644-9355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12230 LIONESS WAY",
"city": "PARKER",
"state": "CO",
"postal_code": "801345603",
"telephone_number": "720-644-9355"
}
],
"practiceLocations": [
{
"address_1": "130 Marvin Rd SE Ste 111",
"address_purpose": "LOCATION",
"city": "Lacey",
"state": "WA",
"postal_code": "985036101",
"country_code": "US",
"telephone_number": "360-357-9392",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUTCHKO",
"first_name": "JOHN",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-29",
"last_updated": "2022-05-31",
"certification_date": "2022-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "CO",
"license": "APN.0997284-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Parker, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.