MR. GRANT CHARLTON BUTLER


Address: 45 Dimock St, Roxbury, MA 02119-1208
Phone: 6174428800

MR. GRANT CHARLTON BUTLER (NPI# 1437525102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437525102
Entity Type Individual
Full Name MR. GRANT CHARLTON BUTLER
Credential N.P.
Practice Address 45 Dimock St
Roxbury
MA 02119-1208
Mailing Address 50 Florence St
Roslindale
MA 02131-3631
Practice Telephone 6174428800
Mailing Telephone 6178779176
Enumeration Date 2015-08-18
Last Update Date 2020-01-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
RN2263964 MA Physician Assistants & Advanced Practice Nursing Providers
N 363LG0600X Nurse Practitioner
Specialization: Gerontology
RN2263964 MA Physician Assistants & Advanced Practice Nursing Providers
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
RN2263964 MA Physician Assistants & Advanced Practice Nursing Providers

Other Providers GRANT BUTLER

NPI Name Taxonomy Address Enumeration
1023549631 Grant Butler Counselor 4841 Auto Center Way Ste 101, Bremerton, WA 98312-4388 2017-03-24
1164738365 Grant W Butler Dentist 2552 F Rd, Grand Junction, CO 81505-1422 2010-08-25

Office Location

Street Address 45 DIMOCK ST
City ROXBURY
State MA
Zip Code 02119-1208

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104813856 Debra Jean Reid Pharmacist 45 Dimock St, Roxbury, MA 02119-1208 2005-09-27
1063022028 Hoda Hamed Optometrist 45 Dimock St, Roxbury, MA 02119-1208 2020-08-05
1790394096 Jonathan Foster-moore Nurse Practitioner 45 Dimock St, Roxbury, MA 02119-1208 2020-07-23
1730797077 Kristie Michelle Grimes-mallard Registered Nurse 45 Dimock St, Roxbury, MA 02119-1208 2020-07-22
1558987859 Dina Cabrejos Arauco Social Worker 45 Dimock St, Roxbury, MA 02119-1208 2020-06-23
1104440908 Joelle Sulistio Registered Nurse 45 Dimock St, Roxbury, MA 02119-1208 2020-06-08
1346883980 Kristen Monique Beard Registered Nurse 45 Dimock St, Roxbury, MA 02119-1208 2019-10-27
1639731649 Alyssa Meltzer Social Worker 45 Dimock St, Roxbury, MA 02119-1208 2019-07-01
1184283012 Claudia Rizzo Social Worker 45 Dimock St, Roxbury, MA 02119-1208 2019-06-13
1740849959 Sabiha Zaman Social Worker 45 Dimock St, Roxbury, MA 02119-1208 2019-06-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427661644 Christina Kim Hunt Case Manager/Care Coordinator 75 Amory St, Garden Level, Boston, MA 02119 2020-08-27
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1154957132 Katherine Erin Douglas Pediatrics 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 2020-03-21
1720536568 Ramy Y Barrett Counselor 77 Savin Street, Apartment # 3, Boston, MA 02119 2016-09-21
1083089676 Natasha Cruz Counselor 263 Eustis Street, Roxbury, MA 02119 2015-12-08
1922478486 Natalie Jones Counselor 520 Dudley St., Roxbury, MA 02119 2015-09-28
1922484799 Dina Ghaly-habib Student in an Organized Health Care Education/Training Program 100 East Newton St., G-706, Boston, MA 02119 2015-08-04
1942697248 Pyramid Builders Case Management 11 Roxbury Street, Boston, MA 02119 2015-04-24
1063810984 Sophia Smalls Counselor 250 Walnut Ave, Apt. 10, Boston, MA 02119 2014-12-09
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538611918 Caitrin Fay Macdonald Nurse Practitioner 1290 Tremont St, Roxbury, MA 02120-3432 2016-11-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1760082366 Donna Josephine Remmes Nurse Practitioner 313 Franklin St, Wrentham, MA 02093-2405 2020-11-01
1912513714 James Vincent Fournier Nurse Practitioner 50 Memorial Dr Ste 205, Leominster, MA 01453-2238 2020-09-17
1386259109 Maureen Villars Nurse Practitioner 32 Orchard Hill Dr, Rutland, MA 01543-1778 2020-09-09
1639783780 Patricia Varela Nurse Practitioner 48 Percival St, Dorchester, MA 02122-1992 2020-09-05
1578172243 Felicia Mendonca Nurse Practitioner 21 Lands End Way, Swansea, MA 02777-2909 2020-07-28
1831716901 Joan Tiano Nurse Practitioner 595 Pawtucket Blvd Ste 3, Lowell, MA 01854-2042 2020-07-06
1720609829 Angelique Group Nurse Practitioner 4 Upland Woods Cir Unit 402, Norwood, MA 02062-3261 2020-04-29
1093341331 Frew Fikru Nurse Practitioner 529 Washington Ave Apt 2, Revere, MA 02151-1962 2020-03-18
1376189084 Dorcas Korir Nurse Practitioner 248 Pleasant St Unit 204, Methuen, MA 01844-7149 2019-11-18
1376194142 Nicholas Davenport Biscardi Nurse Practitioner 6 Wells St, Gloucester, MA 01930-3423 2019-09-24
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Competitor

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City ROXBURY
Zip Code 02119

Improve Information

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Dataset Information

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.

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