Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Xavier Rasheed Butler, SUB-IDC

Individual provider Independent Duty Corpsman · NPI 1487537874

Xavier Rasheed Butler, SUB-IDC is an Independent Duty Corpsman in Groton, Connecticut. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1 Wahoo Ave
Groton, CT 06349-2324
Phone: (501) 502-3115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1487537874
Entity typeIndividual (Type 1)
GenderMale
Credentials SUB-IDC
Sole proprietorYes
NPI enumeratedJuly 31, 2025
Last updated in NPPESJuly 31, 2025
Certification dateJuly 31, 2025
Mailing address108 Litton Ave, Groton, CT 06340-4555

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