HEATHER BUTTRUM PA
Complete NPI Record 1033738901
Physician Assistant - Medical in Prescott, AZ
Active since April 10, 2020PECOS EnrolledAccepts Medicare Assignment
Complete NPI Dataset
This page contains the complete raw NPPES record for Heather Buttrum, PA (NPI 1033738901), an individual physician assistant provider in Prescott, AZ. All 28 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, Markdown or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1033738901 Field 1/28
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 1 Field 2/28
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Provider Last Name Legal Name: BUTTRUM Field 3/28
- The last name of the provider. If the provider is an individual, this is the legal name.
- Provider First Name: HEATHER Field 4/28
- The first name of the provider, if the provider is an individual.
- Provider Credential Text: PA Field 5/28
- The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
- Provider First Line Business Mailing Address: 743 MILLER VALLEY RD Field 6/28
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: PRESCOTT Field 7/28
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: AZ Field 8/28
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 863011813 Field 9/28
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 10/28
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 9287779600 Field 11/28
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider Business Mailing Address Fax Number: 8554495560 Field 12/28
- The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
- Provider First Line Business Practice Location Address: 743 MILLER VALLEY RD Field 13/28
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: PRESCOTT Field 14/28
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: AZ Field 15/28
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 863011813 Field 16/28
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 17/28
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 9287779600 Field 18/28
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 8554495560 Field 19/28
- The fax number associated with the location address of the provider being identified.
- Provider Gender Code: F Field 22/28
- The code designating the provider's gender if the provider is a person.
- Healthcare Provider Taxonomy Code 1: 363AM0700X Field 23/28
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Provider License Number 1: 8240 Field 24/28
- The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
- Provider License Number State Code 1: AZ Field 25/28
- The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
- Healthcare Provider Primary Taxonomy Switch 1: Y Field 26/28
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Sole Proprietor: N Field 27/28
- Indicates whether the provider is registered as a sole proprietor. This is a single-character code: "Y" means the provider operates as a sole proprietor, and "N" means they do not.
Secondary Practice Locations 20
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
2500 Canyon Rd Ste A1
Location 1/20Bullhead City, AZ 86442-8492 · Phone (928) 704-4499 · Fax (928) 704-4949
450 S Willard St Ste 103
Location 2/20Cottonwood, AZ 86326-6744 · Phone (928) 634-9573 · Fax (928) 634-0135
16928 W Bell Rd Ste 701
Location 3/20Surprise, AZ 85374-8948 · Phone (623) 850-0026 · Fax (623) 850-0027
4365 E Pecos Rd
Location 4/20Gilbert, AZ 85295-7875 · Phone (480) 840-9155 · Fax (480) 840-9320
2171 W Orange Grove Rd
Location 5/20Tucson, AZ 85741-3118 · Phone (520) 297-3907 · Fax (520) 989-3586
3015 Hway 95 Ste 105
Location 6/20Bullhead City, AZ 86442-4334 · Phone (928) 772-2582
3336 E Chandler Heights Rd Ste 132
Location 7/20Gilbert, AZ 85298-4264 · Phone (480) 988-4645 · Fax (480) 988-4745
4135 S Power Rd Ste 129
Location 8/20Mesa, AZ 85212-3627 · Phone (480) 892-7000 · Fax (480) 988-4745
1300 S 20th Ave
Location 9/20Safford, AZ 85546-3301 · Phone (928) 428-3122 · Fax (877) 281-8622
560 N Camino Mercado Ste 7
Location 10/20Casa Grande, AZ 85122-5759 · Phone (520) 836-5538 · Fax (844) 772-0049
87 Az-89
Location 11/20Chino Valley, AZ 86323 · Phone (928) 404-1488 · Fax (866) 232-8580
7725 N 43rd Ave Ste 510
Location 12/20Phoenix, AZ 85051-5771 · Phone (480) 963-6144 · Fax (480) 899-1404
286 S Lenzner Ave
Location 13/20Sierra Vista, AZ 85635-5685 · Phone (520) 452-0388 · Fax (877) 281-8622
12075 E State Route 69
Location 14/20Dewey, AZ 86327-4517 · Phone (928) 772-1673 · Fax (928) 772-1674
3552 W Baseline Rd Ste 240
Location 15/20Laveen, AZ 85339-3042 · Phone (602) 635-6941 · Fax (602) 635-6952
725 W Elliot Rd Ste 105
Location 16/20Gilbert, AZ 85233-5301 · Phone (480) 963-6144 · Fax (480) 899-1404
5902 E Pima St
Location 17/20Tucson, AZ 85712-4322 · Phone (520) 886-5315 · Fax (877) 209-7377
26224 N Tatum Blvd Ste 15A
Location 18/20Phoenix, AZ 85050-7500 · Phone (480) 663-9632 · Fax (480) 419-6782
21321 E Ocotillo Rd Ste 133
Location 19/20Queen Creek, AZ 85142-5995 · Phone (480) 987-5525 · Fax (480) 987-5115
9171 W Thunderbird Rd Ste 101
Location 20/20Peoria, AZ 85381-4872 · Phone (623) 877-0100 · Fax (623) 328-8713
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