Active NPI
Shyla Boutilier
- Athletic Trainer
- West Hartford, CT
National Provider Identifier
1962902916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 1678 Asylum Ave
West Hartford, CT 06117-2764 - Phone
- (860) 231-5424
- NPI assigned
- Feb 16, 2018
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | CT | Primary |
Addresses
Primary practice location
1678 Asylum Ave
West Hartford, CT 06117-2764
Mailing address
210 Pine St Apt 212
Manchester, CT 06040-8408
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518739200000",
"number": "1962902916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 PINE ST APT 212",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060408408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1678 ASYLUM AVE",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061172764",
"telephone_number": "860-231-5424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUTILIER",
"first_name": "SHYLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-16",
"last_updated": "2018-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CT",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.