KATHRYN JANE BUTKOVICH CPNP-PC
NPI 1740665389
Nurse Practitioner - Pediatrics in Green Bay, WI

Active since July 24, 2015
1821 S WEBSTER AVE, GREEN BAY, WI 54301(920) 496-4700 Get Directions Write a Review

NPPES record last updated: August 29, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 29, 2019, Feb 23, 2017, Sep 22, 2016 (3 updates tracked since 2016).

  • Individual
  • Female
  • Nurse Practitioner
  • Pediatrics

About KATHRYN BUTKOVICH

This page provides the complete NPI Profile along with additional information for Kathryn Butkovich, a provider established in Green Bay, Wisconsin with a medical specialization in Nurse Practitioner, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1740665389 assigned on July 2015. The practitioner's primary taxonomy code is 363LP0200X with license number 6620 (WI). The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1740665389 Verify this NPI
Provider Name
KATHRYN JANE BUTKOVICH CPNP-PC
Other Name
KATHRYN JANE HANDRICK CPNP-PC
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
1821 S WEBSTER AVE GREEN BAY, WI 54301
Location Phone
(920) 496-4700
Mailing Address
1821 S WEBSTER AVE GREEN BAY, WI 54301
Mailing Phone
(920) 496-4700
Is Sole Proprietor?
No
Enumeration Date
07-24-2015
Last Update Date
08-29-2019
Code Navigator

A nurse practitioner (NP) like Kathryn Butkovich is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Secondary Locations

  • 9000 W Wisconsin Ave Pediatric Genetics
    Milwaukee, WI 53226
    (414) 266-2979
  • 9000 W Wisconsin Ave Pediatric Genetics
    Milwaukee, WI 53226
    (414) 266-2979

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Pediatrics

Taxonomy Code
363LP0200X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
6620
License State
WI

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1163W00000XNursing Service Providers

Registered Nurse

193019-30 (WI)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1740665389MEDICAID (05)WI 

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Interventional Cardiology)
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Obstetrics & Gynecology
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Obstetrics & Gynecology
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Pediatrics
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Pediatrics
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Internal Medicine
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Internal Medicine
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Pediatrics
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Internal Medicine (Pulmonary Disease)
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Audiologist
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Physical Medicine & Rehabilitation
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Family Medicine
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Pediatrics (Pediatric Cardiology)
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Obstetrics & Gynecology
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Physical Medicine & Rehabilitation
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Nurse Practitioner (Family)
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Surgery
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Optometrist
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Physical Medicine & Rehabilitation
1821 S WEBSTER AVE
GREEN BAY, WI 54301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740665389, enumerated as an "individual" on July 24, 2015.

The provider is located at 1821 S WEBSTER AVE GREEN BAY, WI 54301 and the phone number is (920) 496-4700.

Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.