MRS. KATHLEEN ANNE BUTLER (NPI# 1184758245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184758245 |
| Entity Type | Individual |
| Full Name | MRS. KATHLEEN ANNE BUTLER |
| Credential | R.D. |
| Practice Address |
75 Riverside Ave Suite 3 Medford MA 02155-4600 |
| Mailing Address |
282 Sutton Ave Oxford MA 01540-1824 |
| Practice Telephone | 7813966221 |
| Practice Fax Number | 7813957716 |
| Mailing Telephone | 7813966221 |
| Mailing Fax Number | 7813957716 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1062 | MA | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144853896 | Kathleen Terese Butler | Lactation Consultant, Non-RN | 7207 Antock Pl, Upper Marlboro, MD 20772-4305 | 2020-02-20 |
| 1598130668 | Kathleen Butler | Internal Medicine | 41 Moores Rd, Frazer, PA 19355-1113 | 2015-12-01 |
| 1629471859 | Kathleen Butler | Technician, Other | 19246 Merriman Rd, Livonia, MI 48152-4603 | 2014-10-02 |
| 1245495399 | Kathleen Lucille Butler | Registered Nurse | 3800 Rosemont Blvd, 104g, Fairlawn, OH 44333-9245 | 2008-07-28 |
| 1346361706 | Kathleen Gail Butler | Chiropractor | 2543 Crawfordville Hwy., Suite 4, Crawfordville, FL 32327-2167 | 2007-04-03 |
| 1417059502 | Kathleen Krupka Butler | Counselor | 8422 Electric Ave, Vienna, VA 22182-5109 | 2006-09-01 |
| 1962490870 | Kathleen Victoria Butler | Pediatrics | 205 E University Ave, Suite 200, Georgetown, TX 78626-6821 | 2005-10-13 |
| 1609380443 | Kathleen Mary Butler | Counselor | 627 Ne Evans St, Mcminnville, OR 97128-3923 | 2017-11-30 |
| 1427596576 | Kathleen Mary Butler | Speech-Language Pathologist | 129a Hillside Ave, Williston Park, NY 11596-2305 | 2017-02-09 |
| 1992070072 | Kathleen G Butler | Rehabilitation Practitioner | 4160 S Pecos Rd Ste 17, Las Vegas, NV 89121-5027 | 2012-03-21 |
| Street Address |
75 RIVERSIDE AVE SUITE 3 |
| City | MEDFORD |
| State | MA |
| Zip Code | 02155-4600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053393603 | Winchester Physician Associates | Internal Medicine | 75 Riverside Ave, Suite 3, Medford, MA 02155-4600 | 2005-11-18 |
| 1396243358 | Malorie Bartlett | Registered Nurse | 75 Riverside Ave, Medford, MA 02155-4600 | 2018-01-24 |
| 1588894539 | Janet Nolan | Dietitian, Registered | 75 Riverside Ave, Suite 3, Medford, MA 02155-4600 | 2009-07-23 |
| 1033301486 | Marie T. Walsh Condon | Family Medicine | 75 Riverside Ave, Suite 2, Medford, MA 02155 | 2007-08-09 |
| 1154533842 | Diane M Doucette | Registered Nurse | 75 Riverside Ave, Suite 3, Medford, MA 02155-4600 | 2007-05-04 |
| 1073733804 | Nancy Maddox | Dietitian, Registered | 75 Riverside Ave, Medford, MA 02155-4600 | 2007-04-26 |
| 1194942821 | Dana Sackton | Pediatrics | 75 Riverside Ave, Medford, MA 02155-4600 | 2007-04-20 |
| 1861427320 | Clifford Michaelson | Ophthalmology | 75 Riverside Ave, Suite 3, Medford, MA 02155-4600 | 2006-07-12 |
| 1043293731 | Winchester Physician Associates | Pediatrics | 75 Riverside Ave, 2, Medford, MA 02155-4600 | 2005-11-28 |
| 1568445732 | Teresa Mary Zabik | Pediatrics | 75 Riverside Ave, Suite 2, Medford, MA 02155-4600 | 2005-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113922 | Elena Chapman | Nurse Practitioner | 293 Salem St 4, Medford, MA 02155 | 2020-01-14 |
| 1922658830 | Michelle Anne Zona | Counselor | 100 George Hassett Dr, Medford, MA 02155 | 2019-09-13 |
| 1487138509 | Dava Davainis | Social Worker | 76 Newbern Avenue, Apt. 1, Medford, MA 02155 | 2018-09-25 |
| 1265915128 | Erin Roberts | Counselor | Medford Public Schools, 3002 Mystic Valley Pkwy, Medford, MA 02155 | 2018-09-07 |
| 1871075739 | Janice Madeline Cole | Social Worker | 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 | 2018-09-06 |
| 1447732573 | Mystick Women's Health, Inc. | Obstetrics & Gynecology | 13 Bradlee Road, Medford, MA 02155 | 2018-09-05 |
| 1144713090 | Laura Rogers | Psychologist | 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 | 2018-06-14 |
| 1871086694 | Shuo Yang | Dentist | 8 9th St Apt 310, Medford, MA 02155 | 2018-06-07 |
| 1891287108 | Xuhua Qin | Psychologist | 120 Curtis Street, Medford, MA 02155 | 2018-06-01 |
| 1568953529 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 471 Salem St, Medford, MA 02155 | 2018-05-25 |
| Find all providers in zip 02155 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739277 | Total Body Knowledge | Dietitian, Registered | 2314 Hempstead St Apt 3, Medford, OR 97501-0259 | 2020-10-29 |
| 1043855430 | Brittany Lauren Berger | Dietitian, Registered | 0 Governors Ave Ste 2, Medford, MA 02155-3037 | 2019-11-09 |
| 1720435183 | Sarah Leib | Dietitian, Registered | 1 New Kent Ct, Medford, NJ 08055-8618 | 2016-05-16 |
| 1154694768 | Christine Morrell | Dietitian, Registered | 1100 East Main Street, Medford, OR 97504 | 2012-02-13 |
| 1063793495 | Laura Ruth Winters | Dietitian, Registered | 760 Golf View Drive, Suite # 200, Renal Care Consultants PC, Medford, OR 97504 | 2011-08-30 |
| 1598092389 | Elizabeth Backer Amisson | Dietitian, Registered | 53 S Main St Ste 2f, Medford, NJ 08055-2442 | 2009-11-16 |
| 1295827103 | Lynn P Hillery | Dietitian, Registered | 76 Southaven Ave Ste 2, Medford, NY 11763-3745 | 2006-09-28 |
| 1164430518 | Susan L Spiva | Dietitian, Registered | 825 E Main St Ste C, Medford, OR 97504-7171 | 2006-08-03 |
| 1861415564 | Jennifer L Canganelli | Dietitian, Registered | 2900 E Barnett Rd Ste 2, Medford, OR 97504-8380 | 2006-07-25 |
| 1083653471 | Mary K Stansell | Dietitian, Registered | 221 Stewart Avenue, Suite #101, Medford, OR 97501-3609 | 2006-06-04 |
| Find all providers in MEDFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.