KATHY DIANE BUTLER NURSE PRACTITIONER
NPI 1376710624
Nurse Practitioner - Family in Jackson, TN

Active since May 14, 2008PECOS Enrolled
7 LAPLACE DR, JACKSON, TN 38305(731) 664-7949 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 9, 2025, Jul 9, 2021, Sep 1, 2020 (3 updates tracked since 2020).

About Kathy Diane Butler Nurse Practitioner NPPES

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

KATHY DIANE BUTLER NURSE PRACTITIONER (NPI 1376710624) is an individual family provider in Jackson, Tennessee, licensed in Tennessee (42136) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376710624
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHY DIANE BUTLERCredential: NURSE PRACTITIONER
Location Address7 LAPLACE DRJackson, TN 38305-3514
Mailing Address111 Front StHenderson, TN 38340-2313 · (731) 989-2829 · Fax (731) 520-0230
Sole ProprietorNo
Enumeration DateMay 14, 2008
Last NPPES UpdateDecember 9, 20253 updates tracked since enumeration
NPPES CertifiedDecember 9, 2025
NPI 1376710624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TN · 42136
7 LAPLACE DR, Jackson, TN 38305

Other Identifiers 1

Medicaid3345749TN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kathy Diane Butler Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38305 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Kathy Butler's NPI number?

The NPI number for Kathy Butler is 1376710624. It was assigned to this individual provider in the NPPES registry on May 14, 2008.

Where is Kathy Butler located?

Kathy Butler practices at 7 Laplace Dr, Jackson, TN 38305. The listed phone number is (731) 664-7949.

What is Kathy Butler's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kathy Butler enrolled in Medicare?

Yes. Kathy Butler is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathy Butler was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.