MAKEDA SHENAY BUTLER
NPI 1992071682
Licensed Vocational Nurse in San Bernardino, CA

Q: What is Makeda Butler's NPI number?

The NPI number for Makeda Butler is 1992071682. It was assigned to this individual provider in the NPPES registry on March 27, 2012.

Q: What is Makeda Butler's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

Q: When was this NPI record last updated?

The NPPES record for Makeda Butler was last updated on March 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.

Active since March 27, 2012

2080 S E ST, SAN BERNARDINO, CA 92408(909) 388-9191 Get Directions Write a Review

NPPES record last updated: March 27, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Makeda Shenay Butler NPPES

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

MAKEDA SHENAY BUTLER (NPI 1992071682) is an individual licensed vocational nurse in San Bernardino, California, licensed in California (236262) and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1992071682

Entity TypeIndividualFemale

Primary Taxonomy164X00000X

Provider Legal NameMAKEDA SHENAY BUTLER

Location Address2080 S E STSan Bernardino, CA 92408-2773

Mailing Address1525 W Wilson StRialto, CA 92376-6247 · (909) 275-3744

Phone(909) 388-9191

Sole ProprietorNo

Enumeration DateMarch 27, 2012

✔ NPI 1992071682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers

Taxonomy Code164X00000X

License✔ Licensed in CA · 236262

Definition

A licensed vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

2080 S E ST, San Bernardino, CA 92408

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Other Identifiers 1

Medicaid1124100383CA

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.

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