MS. ANITA BUTLER RD LD NPI 1063417038

NPI Information

NPI: 1063417038
Provider Name: MS. ANITA BUTLER, RD, LD
Classification: Nutritionist - 133NN1002X
Entity Type: Individual

Specialization: Nutrition, Education

Address:
150 RIVER NORTH BLVD
STEPHENVILLE, TX
ZIP 76401
Phone: (254) 968-6051
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MS. Anita Butler, RD, LD is a nutrition and education nutritionist in Stephenville, TX. MS. Anita Butler, RD, LD NPI is 1063417038. 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:

150 RIVER NORTH BLVD
STEPHENVILLE, TX
ZIP 76401-803
Phone: (254) 968-6051
Fax: (254) 968-4950

The enumeration date for this NPI number is 6/16/2005 and was last updated on 9/1/2009.

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	133NN1002X	Nutritionist	Nutrition, Education	R08939	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	P47108	MEDICARE UPIN	TEXAS
2	005347201	MEDICAID	TEXAS
3	710000878	OTHER	TEXAS	RAILROAD MEDICARE PROV NO
4	86N852	MEDICARE ID-TYPE UNSPECIFIED	TEXAS	MEDICARE PROVIDER NUMBER

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: 5/5/2024

NPI Synchronization or Removal

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