Individual provider Active NPI

Christine M Dutton, APRN

  • Nurse Practitioner
  • Nashua, NH
National Provider Identifier
1700939188
Registry record updated Jul 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
192546 Issued in MA
Practice address
173 Daniel Webster Hwy
Nashua, NH 03060-5224
Phone
(603) 891-4520
Fax
(603) 891-4414
NPI assigned
Jan 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 192546 MA Primary
Adult Health Nurse Practitioner 363LA2200X 192546 MA

Addresses

Primary practice location

173 Daniel Webster Hwy
Nashua, NH 03060-5224

Mailing address

10 W Meadow Estates Dr
Townsend, MA 01474-1048
Phone (978) 512-1442

Other identifiers 2

IdentifierTypeStateIssuer
0710920MedicaidMA
30346692MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070131000415 MA Practitioner - Nurse Practitioner 1557362746 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
192546MAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Matrix Medical Plus Nurse Practitioner CurrentSince Mar 1, 2022 Accepting new patients
Community Healthlink Inc CurrentSince Sep 12, 2022 Accepting new patients
Community Healthlink, Inc. CurrentSince Sep 12, 2022 Accepting new patients
Supportive Behavioral Care of Ma LLC CurrentSince Nov 15, 2021 Accepting new patients
Accountable Care Practice Services PC PastSince Sep 1, 2012 Accepting new patients
Brighton Family Practice, Inc Past Accepting new patients
Preventive Medicine Associates Past Accepting new patients
Accountable Care Clinical Services PC PastSince Sep 1, 2012 Accepting new patients

Locations

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

44 School St
Rm 325
Boston, MA 02108
Phone (508) 831-8558

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

40 Spruce St
#2
Leominster, MA 01453
Phone (978) 534-6116

72 Jaques Ave
Worcester, MA 01610
Phone (508) 860-1154

12 Queen St
Worcester, MA 01610
Phone (508) 860-1242

162 Chandler St
Worcester, MA 01609
Phone (508) 860-1080

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

27 Randolph Rd
#A
Howell, NJ 07731
Phone (732) 797-9290

Interoperability endpoints

  • Direct secure messaging: cdutton@landmarkhealth-direct.org

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280361600000",
    "number": "1700939188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W MEADOW ESTATES DR",
            "city": "TOWNSEND",
            "state": "MA",
            "postal_code": "014741048",
            "telephone_number": "978-512-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 DANIEL WEBSTER HWY",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030605224",
            "telephone_number": "603-891-4520",
            "fax_number": "603-891-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUTTON",
        "first_name": "CHRISTINE",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2010-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "192546",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "192546",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0710920",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30346692",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.