Individual provider Active NPI

Jennifer M Butler-Rickard, NP

  • Family Nurse Practitioner
  • Hull, MA
National Provider Identifier
1184770273
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
231474 Issued in MA
Practice address
40 Barnstable Rd
Hull, MA 02045-3040
Phone
(781) 332-8156
Fax
(781) 332-8201
NPI assigned
Jan 25, 2007
Last updated
May 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 231474 MA Primary
Registered Nurse 163W00000X 231474 MA

Addresses

Primary practice location

40 Barnstable Rd
Hull, MA 02045-3040

Mailing address

40 Barnstable Street
Hull, MA 02045
Phone (339) 236-1567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070330000313 MA Practitioner - Nurse Practitioner 9638273691 Reassigns benefits to 1 organization
I20240918001428 NH Practitioner - Nurse Practitioner 9638273691 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Matrix Medical Plus CurrentSince Feb 22, 2022 Accepting new patients
Community Care Health Network LLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

3 Allied Dr
Dedham, MA 02026
Phone (404) 587-0945

1 Tara Blvd
Ste 200
Nashua, NH 03062
Phone (603) 242-2296

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1184770273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BARNSTABLE STREET",
            "city": "HULL",
            "state": "MA",
            "postal_code": "02045",
            "telephone_number": "339-236-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BARNSTABLE RD",
            "city": "HULL",
            "state": "MA",
            "postal_code": "020453040",
            "telephone_number": "781-332-8156",
            "fax_number": "781-332-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER-RICKARD",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "231474",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "231474",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hull, MA

Sources for this page

Verify at the official NPI Registry.