Active NPI
Susan Farist Butler, RN MSNCS PHD
- Nurse Practitioner
- Everett, MA
National Provider Identifier
1518011089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 131197
- Practice address
- Tri City MHC
173 Chelsea St
Everett, MA 02149 - Phone
- (781) 388-6200
- NPI assigned
- Jan 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 131197 | MA | Primary |
Addresses
Primary practice location
Tri City MHC
173 Chelsea St
Everett, MA 02149
Mailing address
14 Clinton St
Cambridge, MA 02139
Phone (617) 492-0014
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Doctor of Philosophy, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 131197 | MA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518011089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 CLINTON ST",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "02139",
"telephone_number": "617-492-0014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "TRI CITY MHC",
"address_2": "173 CHELSEA ST",
"city": "EVERETT",
"state": "MA",
"postal_code": "02149",
"telephone_number": "781-388-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "SUSAN",
"middle_name": "FARIST",
"credential": "RN MSNCS PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "131197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Everett, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.