Mary Elizabeth Sade Butler, APRN
Nurse Practitioner, Family in West Columbia, SC. Individual provider (NPI-1).
NPI number1154793545
StatusActive
Last updated in NPPESOct 31, 2017
Details
- NPI
- 1154793545
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Mary Elizabeth Sade Butler
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 23, 2015
- Last updated
- Oct 31, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 19825 | SC | Yes |
Practice location
2401 Sunset BlvdWest Columbia, SC 29169-4717
Phone 866-389-2727
Mailing address
2401 Sunset BlvdWest Columbia, SC 29169-4717
Phone 866-389-2727
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 83 Family Nurse Practitioner providers in West Columbia · All 2,417 providers in West Columbia
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