ODETTE AMANDA E BUTLER (PMHNP-BC) – Child & Adolescent Psychiatric/Mental Health Registered Nurse, NPI 1669906228
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ODETTE AMANDA E BUTLER (PMHNP-BC)
555 ANDOVER PARK W STE 200
TUKWILA, WA 981883379
Phone: (404) 985-1300
Type: Mailing
1113 WILLOW FIELD LN SE
MARIETTA, GA 300673942
Phone:
Type: Mailing
950 W Bannock St Ste 1100
Boise, ID 837026140
Phone: (206) 905-3600
Type: Location
2929 Allen Pkwy Ste 200
Houston, TX 770197123
Phone: (206) 905-3600
Type: Location
301 WI Parkway
Dallas, GA 30132
Phone: (800) 867-1024
Type: Location
555 Andover Park W
Tukwila, WA 981883379
Phone: (404) 751-3700
Type: Location
500 Marquette Ave NW Ste 600
Albuquerque, NM 871025347
Phone: (206) 905-3600
Type: Location
Lonati Law Firm, P.C., 110, Evans Mill Drive, Dallas, Paulding County, Georgia, 30157, United States
DALLAS, GA 301571622
Phone: (404) 653-0374
Type: Location
2375 E CAMELBACK RD STE 600
PHOENIX, AZ 850163493
Phone: (206) 905-3600
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-12-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191230001375 | I | Nurse Practitioner | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hour | 7,788 | 38 | $0 |
Insurance plans in this area (ZIP 98188)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| - | FL | |
| - | GA |
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