Active NPIIndividual provider

Mrs. Kathleen A Butler, RD

Dietitian, Registered in Medford, Massachusetts

NPI Number1184758245
Practice location
75 Riverside Ave, Suite 3, Medford, MA 02155-4600
Fax
781-395-7716
Last updated
July 8, 2007

Kathleen Anne Butler is a Dietitian, Registered based in Medford, MA. Kathleen Anne Butler practices in Medford, MA and has the professional credentials of RD. The NPI Number for Kathleen Anne Butler is 1184758245 and holds a License No. 1062 (MA). The current practice location address for Kathleen Anne Butler is 75 Riverside Ave, Suite 3, Medford, MA 02155-4600 and can be reached out via phone at 781-396-6221 and via fax at 781-395-7716.

Provider Profile Details

NPI Number
1184758245
Provider Name
Kathleen Anne Butler
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
75 Riverside Ave, Suite 3, Medford, MA 02155-4600
Phone Number
781-396-6221
Fax Number
781-395-7716
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
March 14, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
75 Riverside Ave
Suite 3
Medford, MA 02155-4600
Zip
02155-4600
Phone Number
781-396-6221
Fax Number
781-395-7716
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
282 Sutton Ave
Oxford, MA 01540-1824
City
Oxford
State
MA
Zip
01540-1824
Phone Number
781-396-6221
Fax Number
781-395-7716

License Information

License Number
1062
License State
MA
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Kathleen A Butler, RD?

The NPI number of Mrs. Kathleen A Butler, RD is 1184758245. It was assigned on March 14, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Kathleen A Butler, RD?

Mrs. Kathleen A Butler, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 1062.

Where does Mrs. Kathleen A Butler, RD practice?

The practice location is 75 Riverside Ave, Suite 3, Medford, MA 02155-4600. The office can be reached at 781-396-6221 (phone) or 781-395-7716 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184758245 directly on the NPPES registry website.

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