Active NPI
Stephanie Lee Butler, RN, CLC
- Doula
- Northborough, MA
National Provider Identifier
1982945911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 49 Longfellow Rd
Northborough, MA 01532-2725 - Phone
- (508) 254-5467
- NPI assigned
- Mar 15, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | RN2279218 | MA | |
| Maternal Newborn Registered Nurse | 163WM0102X | RN2279218 | MA | |
| Doula | 374J00000X | Primary |
Addresses
Primary practice location
49 Longfellow Rd
Northborough, MA 01532-2725
Mailing address
49 Longfellow Rd
Northborough, MA 01532-2725
Phone (508) 254-5467
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2279218 | MA | MD | Lactation Consultant (Registered Nurse) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363305600000",
"number": "1982945911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 LONGFELLOW RD",
"city": "NORTHBOROUGH",
"state": "MA",
"postal_code": "015322725",
"telephone_number": "508-254-5467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 LONGFELLOW RD",
"city": "NORTHBOROUGH",
"state": "MA",
"postal_code": "015322725",
"telephone_number": "508-254-5467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "STEPHANIE",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "RN, CLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-15",
"last_updated": "2013-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "MA",
"license": "RN2279218",
"primary": false
},
{
"code": "163WM0102X",
"taxonomy_group": "",
"desc": "Registered Nurse, Maternal Newborn",
"state": "MA",
"license": "RN2279218",
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.