MS. MARY R BUTLER (NPI# 1093766487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093766487 |
| Entity Type | Individual |
| Full Name | MS. MARY R BUTLER |
| Credential | NP |
| Practice Address |
130 2nd St Chw-fox Valley Theda Clark Med Ctr Neenah WI 54956-2883 |
| Practice Telephone | 9209697913 |
| Practice Fax Number | 9209697909 |
| Mailing Telephone | 9209697913 |
| Mailing Fax Number | 9209697909 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2013-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 2761 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1093766487 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720667 | Mary Rae Butler | Pharmacist | 344 E Palmer Ave, Addison, IL 60101-4027 | 2020-11-02 |
| 1770181539 | Mary Lou Butler | Homemaker | 1383 Lorelei Dr, Fayetteville, OH 45118-9263 | 2020-10-14 |
| 1932671039 | Mary Lou Butler | Chore Provider | 5 Cogburn Ct, Columbia, SC 29229-8075 | 2018-12-30 |
| 1295286912 | Mary M Butler | Physical Therapy Assistant | 2230 Ashley Crossing Drive, Charleston, SC 29414 | 2016-10-18 |
| 1972994432 | Mary Butler | Pharmacist | 950 N 12th St Ste 125, Milwaukee, WI 53233-1306 | 2015-02-05 |
| 1770784902 | Mary Alison Butler | Social Worker | 1426 N Hancock Ave Ste 5n, Colorado Springs, CO 80903 | 2007-05-28 |
| 1700407830 | Mary Annette Butler | Nurse Practitioner | 301 40th St, Lubbock, TX 79404-2746 | 2020-04-29 |
| 1073179297 | Mary Michele Butler | Family Medicine | 1806 W Lincoln Ave, Yakima, WA 98902-2473 | 2019-05-13 |
| 1568934800 | Mary Colleen Butler | Physical Therapy Assistant | 400 Clocktower Ridge Dr, Winchester, VA 22603-3878 | 2018-12-27 |
| 1760954473 | Mary Butler | Nurse Practitioner | 2175 Main St, Dunedin, FL 34698-5606 | 2018-12-19 |
| Street Address |
130 2ND ST CHW-FOX VALLEY THEDA CLARK MED CTR |
| City | NEENAH |
| State | WI |
| Zip Code | 54956-2883 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689675563 | Petra M Laeven-sessions | Pediatrics | 130 2nd St, Pediatric Hospitalist Dept, Neenah, WI 54956-2883 | 2005-08-02 |
| 1528673555 | Katelyn Calaguan Algas | Occupational Therapist | 130 2nd St, Neenah, WI 54956-2883 | 2020-09-15 |
| 1275150328 | Laura Kathryn Neubert | Occupational Therapist | 130 2nd St, Neenah, WI 54956-2883 | 2020-07-05 |
| 1922623487 | Megan Marie Mcnally | Nurse Practitioner | 130 2nd St, Neenah, WI 54956-2883 | 2020-06-10 |
| 1194348896 | Thedacare Regional Medical Center-neenah, Inc. | Medicare Defined Swing Bed Unit | 130 2nd St, Neenah, WI 54956-2883 | 2020-05-28 |
| 1285256677 | Paige Koerperich | Physician Assistant | 130 2nd St, Neenah, WI 54956-2883 | 2020-05-08 |
| 1376164194 | Michelle K Scharine | Registered Nurse | 130 2nd St, Neenah, WI 54956-2883 | 2020-05-04 |
| 1114552080 | Jessica Mcdonald | Pediatrics | 130 2nd St, Neenah, WI 54956-2883 | 2020-03-11 |
| 1659911329 | Julia A Stoffel | Nurse Practitioner | 130 2nd St, Neenah, WI 54956-2883 | 2020-01-10 |
| 1497309884 | Annalise Kelsey | Physician Assistant | 130 2nd St, Neenah, WI 54956-2883 | 2019-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447768411 | Wisconsin Institute of Surgical Excellence LLC | Clinic/Center | 1265 W American Dr Ste 200, Neenah, WI 54956 | 2018-01-12 |
| 1639614290 | Clinton Robert Murchland | Pharmacist | 828 Fox Point Plaza, Pharmacy, Neenah, WI 54956 | 2017-01-05 |
| 1629448550 | Melissa Christine Hewitt | Physical Therapy Assistant | 1119 Higgins Ave, Neenah, WI 54956 | 2015-10-05 |
| 1437581923 | Ross Phan | Pharmacist | 1432 Seymour Crt, Neenah, WI 54956 | 2013-08-06 |
| 1518201318 | Meridith Nealy Starling | Social Worker | 124 W Wisconsin Ave, Suite 90 B, Neenah, WI 54956 | 2012-11-16 |
| 1639464886 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 901 S. Green Bay Rd, Neenah, WI 54956 | 2011-06-16 |
| 1669701439 | Donna Jean Falk | Licensed Practical Nurse | 1037 B Hunt Ave, Neenah, WI 54956 | 2009-12-08 |
| 1285868257 | Angela Marie Bilbrey | Dietitian, Registered | 307 S Commercial St Ste 101, Neenah, WI 54956 | 2009-05-06 |
| 1003083114 | A B See Vision Therapy Centers Sc | Optometrist | 1401 Mcmahon Dr., Suite 100, Neenah, WI 54956 | 2008-05-08 |
| 1629244173 | Tamra Marie Knutson | Radiology | 333 N Commercial St #100, Neenah, WI 54956 | 2008-05-05 |
| Find all providers in zip 54956 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790139160 | Ashley Gehrke | Nurse Practitioner | 1702 Dublin Trl Apt 347, Neenah, WI 54956-8821 | 2016-04-21 |
| 1598953820 | Holly M Pohlman | Nurse Practitioner | 3003 W. Breezewood Ln, Neenah, WI 54956 | 2007-10-11 |
| 1710938899 | Cathy Diane Shine | Nurse Practitioner | 1305 W. American Drive, Neenah, WI 54956-2883 | 2006-05-13 |
| 1407807563 | Diane Lynn Vanderlin | Nurse Practitioner | 1305 West American Drive, Neenah, WI 54956-2883 | 2006-05-13 |
| 1902892243 | Laura A Tucker | Nurse Practitioner | West Pavilion 2 Floor, 130 Second Street, Neenah, WI 54956-2753 | 2005-09-22 |
| 1740893114 | Lauran M Brice | Nurse Practitioner | 1305 W American Dr, Neenah, WI 54956-1993 | 2020-08-26 |
| 1245848423 | Laura Stafford | Nurse Practitioner | 300 N Commercial St, Neenah, WI 54956-2619 | 2020-07-14 |
| 1750889630 | Jane Carol Pleshek | Nurse Practitioner | 1540 Lyon Dr, Neenah, WI 54956-5069 | 2018-01-25 |
| 1093241879 | Bonnie B Hoersch | Nurse Practitioner | 130 2nd St, Neenah, WI 54956-2883 | 2017-05-11 |
| 1215463146 | Nicole Ver Voort | Nurse Practitioner | 101 Main St, Neenah, WI 54956-2570 | 2017-05-11 |
| Find all providers in NEENAH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.