Healthcare Provider Details

I. General information

NPI: 1811851462
Provider Name (Legal Business Name): KATHERINE ELIZABETH BUTLER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6025 DELMONICO DR
COLORADO SPRINGS CO
80919-2251
US

IV. Provider business mailing address

7951 SHOAL CREEK BLVD STE 300
AUSTIN TX
78757-7582
US

V. Phone/Fax

Practice location:
  • Phone: 719-634-7246
  • Fax: 855-592-2816
Mailing address:
  • Phone: 512-584-8404
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA.0009660
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: