BEVERLY DIANN BUTLER


Address: 5604 Old Bullard Rd Ste 107, Tyler, TX 75703-4359
Phone: 9036302197

BEVERLY DIANN BUTLER (NPI# 1891354494) 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) 1891354494
Entity Type Individual
Full Name BEVERLY DIANN BUTLER
Credential FNP-C
Practice Address 5604 Old Bullard Rd Ste 107
Tyler
TX 75703-4359
Practice Telephone 9036302197
Practice Fax Number 9036302198
Mailing Telephone 9036302197
Mailing Fax Number 9036302198
Enumeration Date 2019-06-07
Last Update Date 2020-10-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine F06190451 TX Allopathic & Osteopathic Physicians

Other Providers BEVERLY BUTLER

NPI Name Taxonomy Address Enumeration
1194117119 Beverly Anne Butler Clinical Nurse Specialist 3828 S 1st St, Austin, TX 78704-7048 2015-02-27
1942458831 Beverly Butler Counselor 1727 Wrightsboro Rd, Suite B, Augusta, GA 30904-4074 2008-09-04

Office Location

Street Address 5604 OLD BULLARD RD STE 107
City TYLER
State TX
Zip Code 75703-4359

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447807136 Butler Family Practice Pllc Nurse Practitioner 5604 Old Bullard Rd Ste 107, Tyler, TX 75703-4359 2019-08-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174155477 Choice Supportive Care Team Inc. Family Medicine 4293 Kinsey Drive, Tyler, TX 75703 2020-02-05
1770052532 Refinery Chiropractic LLC Chiropractor 16637 Old Jacksonville Hwy, Suite D, Tyler, TX 75703 2018-11-21
1215419353 Deidre Lynn Fergason Occupational Therapy Assistant 3505 Old Jacksonville Hwy, Tyler, TX 75703 2018-09-05
1710473681 Justin Taylor Ross Dentist 8938 S Broadway Ave Ste 380, Tyler, TX 75703 2018-07-03
1457843450 Adam Tyler Barnes, Dds of Texas II, Pllc Dentist 8938 South Broadway, Ste 480, Tyler, TX 75703 2018-06-05
1083106462 Integrity Health Internal Medicine 5605 Old Bullard Rd Ste B, Tyler, TX 75703 2018-06-01
1427572544 Cody Wayne Graham Pharmacist 5415 S. Broadway Ave., Tyler, TX 75703 2017-07-31
1750805941 Roger Bryan Chapman Nurse Practitioner 6115 New Copeland Rd, Tyler, TX 75703 2017-07-28
1427570084 Darah Lynne Dahlem Speech-Language Pathologist 401 E. Front Street Ste 123, Tyler, TX 75703 2017-07-14
1194267468 Herman Lester Hampton Jr. Surgery 5803 Regents Row, Tyler, TX 75703 2016-11-17
Find all providers in zip 75703

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922632553 Christina Kay Baker Family Medicine 2333 Dueling Oaks Dr, Tyler, TX 75703-0326 2020-02-21
1174155477 Choice Supportive Care Team Inc. Family Medicine 4293 Kinsey Drive, Tyler, TX 75703 2020-02-05
1396389870 Shelly Lynn Williams Family Medicine 1420 W Southwest Loop 323 Ste 100, Tyler, TX 75701-9347 2019-10-29
1851846018 Thomas Mason Worthington Jr. Family Medicine 9141 Chisholm Trl, Tyler, TX 75703-0409 2016-08-17
1881069557 The Bradley Clinic of Texas, Pllc Family Medicine 1402 Rice Rd, Suite 100, Tyler, TX 75703-3260 2015-12-07
1750764189 Diabetic Renewal Center LLC Family Medicine 1015 Pruitt Pl Ste 105, Tyler, TX 75703-1154 2015-07-02
1013306273 Pure Radiance Laser Retreat Family Medicine 6722 S Broadway Ave, Tyler, TX 75703-4730 2015-01-12
1023412988 James Kent Gray Family Medicine 14843 Big Oak Bay Rd, Tyler, TX 75707-7309 2014-10-21
1346640182 Morris Mht LLC Family Medicine 2030 Stonegate Blvd, Tyler, TX 75703-0103 2014-08-29
1114206455 Ronald David Beals Family Medicine 9030 Old Hickory Rd, Tyler, TX 75703-7651 2011-08-04
Find all providers in TYLER

Competitor

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City TYLER
Zip Code 75703

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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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