KIMBERLY CHERYL BUTRUM RN GNP NPI 1013102599

NPI Information

NPI: 1013102599
Provider Name: KIMBERLY CHERYL BUTRUM, RN GNP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Address:
313 E 12TH ST
SUITE 101
AUSTIN, TX
ZIP 78701
Phone: (512) 324-9660
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Kimberly Cheryl Butrum, RN GNP is a gerontology nurse practitioner in Austin, TX. Kimberly Cheryl Butrum, RN GNP NPI is 1013102599. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

313 E 12TH ST
SUITE 101
AUSTIN, TX
ZIP 78701-954
Phone: (512) 324-9660
Fax: (512) 324-9651

The enumeration date for this NPI number is 9/7/2007 and was last updated on 5/15/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	724673	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8K5286	MEDICARE PIN	TEXAS
2	134341629	OTHER	TEXAS	EIN
3	DF9390	MEDICARE PIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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