KIMBERLY SUE BUTLER


Address: 339 Sw Century Dr Ste 101, Bend, OR 97702-1199
Phone: 5413821395

KIMBERLY SUE BUTLER (NPI# 1578934535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578934535
Entity Type Individual
Full Name KIMBERLY SUE BUTLER
Other Name KIMBERLY SUE DONOVAN
Credential N.P.
Practice Address 339 Sw Century Dr Ste 101
Bend
OR 97702-1199
Mailing Address Po Box 1115
Bend
OR 97709-1115
Practice Telephone 5413821395
Practice Fax Number 5413826576
Mailing Telephone 5413821395
Mailing Fax Number 5413826576
Enumeration Date 2015-10-15
Last Update Date 2018-04-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
201507448NPPP OR Physician Assistants & Advanced Practice Nursing Providers

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1245386390 Kimberly A Butler Physical Therapist 526 Eastern Bypass, Cornerstone Physical Therapy, Richmond, KY 40475 2007-01-25
1962592675 Kimberly Butler Counselor 55 Westchester Sq # 62, Bronx, NY 10461-3525 2006-10-13
1528570025 Kimberly Butler Social Worker 799 S Main St, Lima, OH 45804-1519 2017-10-25
1225485402 Kimberly Jeanbe Butler Dentist 2838 Summit St, Oakland, CA 94609-3605 2016-05-18
1598110843 Kimberly Butler Social Worker 701 E 2nd Ave Sw, Rome, GA 30161-6148 2016-04-24
1437515020 Kimberly Smoak Butler Registered Nurse 222 Beaufort St Ne, Aiken, SC 29801-4476 2016-01-12
1770982902 Kimberly Rome Butler Counselor 2372 Saint Claude Ave, Suite 300, New Orleans, LA 70117-8351 2014-08-13
1164851937 Kimberly Butler Student in an Organized Health Care Education/Training Program 2500 Alhambra Ave, Martinez, CA 94553-3156 2013-11-02

Office Location

Street Address 339 SW CENTURY DR STE 101
City BEND
State OR
Zip Code 97702-1199

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629676259 Amy Michelle Anderson Counselor 233 Sw Wilson Ave, Ste 201, Bend, OR 97702 2020-10-15
1386259463 Jacob Rehder Counselor 19717 Mt Batchelor Dr, #226, Bend, OR 97702 2020-09-15
1497385215 Capacity Performance Therapy Physical Medicine & Rehabilitation 61125 Lodgepole Dr., Bend, OR 97702 2020-01-21
1962041707 Shift Bend Functional Medicine Family Medicine 151 Sw Shevlin Hicks Dr, Suite #1, Bend, OR 97702 2019-12-26
1609435049 Praxis Medical Group Inc Orthopaedic Surgery 1140 Sw Simpson Avenue, Suite 100, Bend, OR 97702 2019-06-10
1013485754 Elana Leah Pesah Social Worker 138 Maaglei Harim Levin, Jerusalem, ISRAEL 97702 2018-11-12
1104303239 Kyleigh Mcvey Massage Therapist 999 Sw Disk Dr, Bend, OR 97702 2018-07-21
1477042869 Siloe Castaneda Huerta Counselor 1340 Nw Wall, Bend, Or, Bend, OR 97702 2018-05-02
1164910808 Rebecca M Joyce Social Worker 1011 Sw Emkay Dr. Suite 101, Bend, OR 97702 2018-04-27
1093217978 Jennifer Bury Acupuncturist 296 Sw Columbia St Ste D1, Bend, OR 97702 2018-03-06
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528317898 Kara Lynn Kelly Nurse Practitioner 339 Sw Century Dr, Suite 101, Bend, OR 97702-1198 2012-09-02
1114273711 Deborah Macwilliams Nurse Practitioner 731 Nw Franklin Ave Ste 104, Bend, OR 97703 2012-08-01
1801122668 Kay Oliver Nurse Practitioner 1010 Nw Harriman St, Suite A, Bend, OR 97701-1912 2009-10-28
1699906305 Kristin Brooks Nurse Practitioner 336 Ne Norton Ave. Ste. 3, Bend, OR 97701-3598 2009-07-29
1003071499 Nicholas J Campo IIi Nurse Practitioner 233 Sw Wilson Ave Ste 201, Bend, OR 97702-2988 2008-07-24
1922180777 Deborah Padgett Coehlo Nurse Practitioner 62930 O B Riley Rd Ste 300, Bend, OR 97703-9459 2006-10-20
1033718242 Hagen Psychiatry LLC Nurse Practitioner 2955 N Highway 97 Ste 100, Bend, OR 97703-7559 2020-10-19
1235766510 Richard Dean Akers Nurse Practitioner 2577 Ne Courtney Dr, Bend, OR 97701-7752 2020-03-25
1952854481 Kara Kelly, LLC Nurse Practitioner 2955 N Hwy 97, Suite 102, Bend, OR 97703-7559 2016-08-02
1386091734 Bridget Knight Nurse Practitioner 2577 Ne Courtney Dr, Bend, OR 97701-7638 2016-05-16
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Competitor

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City BEND
Zip Code 97702

Improve Information

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Dataset Information

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.

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