NANCY M BOTELHO NP NPI 1346214293

NPI Information

NPI: 1346214293
Provider Name: NANCY M BOTELHO, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
101 DUDLEY ST
PROVIDENCE, RI
ZIP 02905
Phone: (401) 453-7953
Get Directions

Nancy M Botelho, NP is a family nurse practitioner in Providence, RI with 21 years of experience. Nancy M Botelho, NP NPI is 1346214293. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

101 DUDLEY ST
PROVIDENCE, RI
ZIP 02905-401
Phone: (401) 453-7953
Fax: (401) 453-7790

The NPI 1346214293 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/16/2006 and was last updated on 9/16/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	APRN00245	RHODE ISLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	29978-3	OTHER	RHODE ISLAND	BCBS OF RI
2	050483739	OTHER	RHODE ISLAND	TIN
3	Q17936	MEDICARE UPIN	RHODE ISLAND
4	709004159	OTHER	RHODE ISLAND	MEDICARE GROUP
5	007058141	MEDICARE ID-TYPE UNSPECIFIED	RHODE ISLAND
6	050483739	OTHER	RHODE ISLAND	GREAT WEST HEALTH CARE
7	9003486	MEDICAID	RHODE ISLAND
8	412985	OTHER	RHODE ISLAND	BLUE CHIP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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