She starred opposite Adrian Grenier in Noah Buschel's Bringing Rain. She had a brief appearance in Spike Lee's 2004 film She Hate Me. She was also considered as the lead role Love and Basketball, opposite Omar Epps, but was ultimately turned over for actress Sanaa Lathan despite producer Spike Lee's advice. According to writer & director Gina Prince-Bythewood " I saw over 700 people for the part–actors, ballplayers, people who had never acted before in their life. It finally came down to Sanaa and Niesha I put Sanaa with a basketball coach for two months and Niesha with an acting coach.” Prince-Bythewood ultimately decided that it was a love story first—which is why she ultimately went with Lathan 
She also appeared in the first Nike-LeBron James commercial.
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Niesha Butler is the only female high school basketball player in New York City to be named to the All City Team four years in a row.