Individual provider Active NPI

Ruth Butta, RN

  • Registered Nurse
  • Billerica, MA
National Provider Identifier
1891963492
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
261304 Issued in MA
Practice address
28 Kenmar Dr
Unit 280
Billerica, MA 01821-4806
Phone
(617) 543-6452
NPI assigned
Feb 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 261304 MA Primary

Addresses

Primary practice location

28 Kenmar Dr
Unit 280
Billerica, MA 01821-4806

Mailing address

28 Kenmar Dr
Unit 280
Billerica, MA 01821-4806
Phone (617) 543-6452

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)
Not enrolled
Credentials
Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203033600000",
    "number": "1891963492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 KENMAR DR",
            "address_2": "UNIT 280",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "018214806",
            "telephone_number": "617-543-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 KENMAR DR",
            "address_2": "UNIT 280",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "018214806",
            "telephone_number": "617-543-6452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTA",
        "first_name": "RUTH",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "261304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billerica, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.