BUTLER FAMILY PRACTICE
NPI 1447807136
Nurse Practitioner - Family in Tyler, TX

Q: What is Butler Family Practice PLLC's NPI number?

The NPI number for Butler Family Practice PLLC is 1447807136. It was assigned to this organization in the NPPES registry on August 19, 2019. The provider is doing business as Butler Family Practice.

Q: What is Butler Family Practice PLLC's specialty?

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

Active since August 19, 2019CLIA 45D2247584 · Waiver

6713 OLD JACKSONVILLE HWY STE 204, TYLER, TX 75703(903) 630-2197(903) 470-7372 Get Directions Write a Review

NPPES record last updated: November 14, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 14, 2024, Jan 4, 2022, Oct 15, 2020 and 1 more (4 updates tracked since 2019).

On this page

About Butler Family Practice NPPES

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

BUTLER FAMILY PRACTICE (NPI 1447807136) is a healthcare organization registered as a family in Tyler, Texas and active in the NPI registry since August 2019. The organization holds a CLIA Waiver certificate valid through January 6, 2028 and lists Beverly Diann Butler, Aprn, Fnp-c, as its authorized official.

NPPES Registry Identity

NPI1447807136

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameBUTLER FAMILY PRACTICE PLLC

Location Address6713 OLD JACKSONVILLE HWY STE 204Tyler, TX 75703-0753

Mailing Address6713 Old Jacksonville Hwy Ste 204Tyler, TX 75703-0753 · (903) 630-2197 · Fax (903) 470-7372

Phone(903) 630-2197

Fax(903) 470-7372

Organization SubpartNo

Authorized OfficialBeverly Diann ButlerAprn, Fnp-c · (936) 675-0808

Enumeration DateAugust 19, 2019

Last NPPES UpdateNovember 14, 20244 updates tracked since enumeration

NPPES CertifiedNovember 14, 2024

✔ NPI 1447807136 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

6713 OLD JACKSONVILLE HWY STE 204, Tyler, TX 75703

Open in Google Maps ↗

Other Names 1

Doing Business AsButler Family Practice

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2247584

Butler Family Practice, PLLC · Tyler, TX

Active · expires Jan 6, 2028

CLIA Number45D2247584

Laboratory TypePractitioner Other

Certificate Effective DateJanuary 7, 2026

Certificate Expiration DateJanuary 6, 2028

Laboratory DirectorBeverly D. Butler

Laboratory Phone(903) 630-2197

Laboratory LocationButler Family Practice, PLLC6713 Old Jacksonville Hwy, Suite 204, Tyler, TX 75703

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. BEVERLY DIANN BUTLER APRN, DNP, FNP-C

Nurse Practitioner (Family)

6713 OLD JACKSONVILLE HWY STE 204
TYLER, TX 75703

Smith County (903) 630-2197

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 Butler Family Practice PLLC's NPI number?

The NPI number for Butler Family Practice PLLC is 1447807136. It was assigned to this organization in the NPPES registry on August 19, 2019. The provider is doing business as Butler Family Practice.

Where is Butler Family Practice PLLC located?

Butler Family Practice PLLC is located at 6713 Old Jacksonville Hwy Ste 204, Tyler, TX 75703. The listed phone number is (903) 630-2197.

What is Butler Family Practice PLLC's specialty?

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

Does Butler Family Practice PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2247584) is associated with this NPI, valid through January 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Butler Family Practice PLLC was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.