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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DEZIARAY MATA BUTLER
NPI 1053221853
Licensed Practical Nurse in Tacoma, WA

Active since September 11, 2026
9040 JACKSON AVE, TACOMA, WA 98431(253) 968-3105 Get Directions Write a Review

NPPES record added: September 11, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Deziaray Mata Butler NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEZIARAY MATA BUTLER (NPI 1053221853) is an individual licensed practical nurse in Tacoma, Washington, licensed in Texas (1168804) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1053221853
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameDEZIARAY MATA BUTLER
Location Address9040 JACKSON AVETacoma, WA 98431-0001
Mailing Address9040 Jackson AveTacoma, WA 98431-0001 · (915) 626-7806
Phone(253) 968-3105
Sole ProprietorNo
Enumeration DateSeptember 11, 2026
NPPES CertifiedSeptember 11, 2026
✔ NPI 1053221853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in TX · 1168804
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
9040 JACKSON AVE, Tacoma, WA 98431
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Other Names 1

Former Name (1)Jeniva Deziaray Butler Lpn

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL JOHN MEANS CRNA
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2235
DR. ADAM CLAY PERKINS PH.D.
Psychologist (Clinical)
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-3071
GABRIELLE ABRAHAMSEN DPT
Physical Therapist
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2220
KENNY VAN LE MD
Anesthesiology
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-1110
MR. ANDREW J IRIZARRY DNP, CRNA
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (330) 509-3934
MATTHEW LIBID CRNA
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (203) 768-5053
DR. SALEEM M CHOUDRY
General Practice
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2462
COURTNEY LAVIN
General Practice
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-1790

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deziaray Mata Butler's NPI number?

The NPI number for Deziaray Mata Butler is 1053221853. It was assigned to this individual provider in the NPPES registry on September 11, 2026. The provider is also known as Jeniva Deziaray Butler Lpn.

Where is Deziaray Mata Butler located?

Deziaray Mata Butler practices at 9040 Jackson Ave, Tacoma, WA 98431. The listed phone number is (253) 968-3105.

What is Deziaray Mata Butler's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Deziaray Mata Butler was last updated on September 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.