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NICHOLAS JAMES BUTTERMORE
NPI 1063114619
Student in an Organized Health Care Education/Training Program in Mishawaka, IN

Active since March 20, 2023
611 E DOUGLAS RD, MISHAWAKA, IN 46545(574) 335-6500 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicholas James Buttermore NPPES

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

NICHOLAS JAMES BUTTERMORE (NPI 1063114619) is an individual student in an organized health care education/training program in Mishawaka, Indiana and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1063114619
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNICHOLAS JAMES BUTTERMORE
Location Address611 E DOUGLAS RDMishawaka, IN 46545-1464
Mailing Address611 E Douglas RdMishawaka, IN 46545-1464 · (574) 335-6500
Phone(574) 335-6500
Sole ProprietorYes
Enumeration DateMarch 20, 2023
NPPES CertifiedMarch 19, 2023
✔ NPI 1063114619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

611 E DOUGLAS RD, Mishawaka, IN 46545
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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.

MRS. PAMELA R CHANEY RN CMEP
Registered Nurse (Plastic Surgery)
611 E DOUGLAS RD
MISHAWAKA, IN 46545
St. Joseph County (574) 968-3510
MIDWEST EYE CONSULTANTS, P.C.
Ophthalmology (Retina Specialist)
611 E DOUGLAS RD, SUITE 102
MISHAWAKA, IN 46545
St. Joseph County (260) 569-9550
MIDWEST ORTHOTIC SERVICES LLC
Prosthetic/Orthotic Supplier
611 E DOUGLAS RD
MISHAWAKA, IN 46545
St. Joseph County (574) 204-2416
DAVID WYNCOTT MD
Family Medicine
611 E DOUGLAS RD, SUITE 407
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6500
MIDWEST MEDICAL GROUP, LLC
Internal Medicine (Cardiovascular Disease)
611 E DOUGLAS RD, SUITE 208
MISHAWAKA, IN 46545
St. Joseph County (574) 232-5928
DR. AJAZUDDIN Z. SHAIKH M.D.
Internal Medicine (Cardiovascular Disease)
611 E DOUGLAS RD, STE 208
MISHAWAKA, IN 46545
St. Joseph County (574) 232-5928
KEVIN R ERICSON MD
Family Medicine
611 E DOUGLAS RD, STE 407
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6500
ZACHARY JOE MARANAR LESHEN M.D.
Internal Medicine (Interventional Cardiology)
611 E DOUGLAS RD, STE 208
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6700

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 Nicholas Buttermore's NPI number?

The NPI number for Nicholas Buttermore is 1063114619. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Nicholas Buttermore located?

Nicholas Buttermore practices at 611 E Douglas Rd, Mishawaka, IN 46545. The listed phone number is (574) 335-6500.

What is Nicholas Buttermore's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Nicholas Buttermore was last updated on March 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.