Healther Providers Data Logo


Provider Type Icon

MS. DAPHENE LUVATA KIMBALL-BUTLER RN.PCM.CLC.SANE. NPI 1669448643


NPI Information

NPI: 1669448643
Provider Name: MS. DAPHENE LUVATA KIMBALL-BUTLER, RN.PCM.CLC.SANE.
Classification: Registered Nurse - 163WC1500X
Entity Type: Individual

Specialization: Community Health

Address:
4778 N HENRY BLVD
STOCKBRIDGE, GA
ZIP 30281
Phone: (706) 650-5793
Get Directions

MS. Daphene Luvata Kimball-butler, RN.PCM.CLC.SANE. is a community health registered nurse in Stockbridge, GA. MS. Daphene Luvata Kimball-butler, RN.PCM.CLC.SANE. NPI is 1669448643. 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:

4778 N HENRY BLVD
STOCKBRIDGE, GA
ZIP 30281-566
Phone: (706) 650-5793
Fax: (770) 786-2223

The enumeration date for this NPI number is 2/28/2006 and was last updated on 1/25/2010.


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
1163WC0400XRegistered NurseCase ManagementRN136141GEORGIANo
2163WL0100XRegistered NurseLactation ConsultantRN136141GEORGIANo
3163WM0102XRegistered NurseMaternal NewbornRN136141GEORGIANo
4163WC1600XRegistered NurseContinuing Education/Staff DevelopmentRN136141GEORGIANo
5163WW0000XRegistered NurseWound CareRN136141GEORGIANo
6163WC0400XRegistered NurseCase ManagementR73283SOUTH CAROLINANo
7163WC1500XRegistered NurseCommunity HealthR73283SOUTH CAROLINANo
8163WL0100XRegistered NurseLactation ConsultantR73283SOUTH CAROLINANo
9163WM0102XRegistered NurseMaternal NewbornR73283SOUTH CAROLINANo
10163WC1600XRegistered NurseContinuing Education/Staff DevelopmentR73283SOUTH CAROLINANo
11163WX0002XRegistered NurseObstetric, High-RiskR73283SOUTH CAROLINANo
12163WP1700XRegistered NursePerinatalR73283SOUTH CAROLINANo
13163WW0000XRegistered NurseWound CareR73283SOUTH CAROLINANo
14163WC1500XRegistered NurseCommunity HealthRN136141GEORGIAYes

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
1000847459AMEDICAIDGEORGIA
2000847459BMEDICAIDGEORGIA

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
Remove or sync iconNPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI
Next NPI »