BOTTS DIABETES & ENDOCRINOLOGY NPI 1477044717

NPI Information

  • NPI: 1477044717
  • Provider Name: BOTTS DIABETES & ENDOCRINOLOGY
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • CLIA Number: 44D2164318
  • Address: 1420 W BADDOUR PKWY STE 200
    LEBANON, TN
    ZIP 37087
  • Phone: (615) 444-4126

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NPI Details

BOTTS DIABETES & ENDOCRINOLOGY is a family nurse practitioner in Lebanon, TN. BOTTS DIABETES & ENDOCRINOLOGY NPI is 1477044717. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1420 W BADDOUR PKWY STE 200
LEBANON, TN
ZIP 37087-510
Phone: (615) 444-4126

The provider's authorized official is Dara W Botts .
The authorized official title is Owner and has the following contact phone number (615) 444-4126.

The CLIA number assigned to this NPI record is 44D2164318 - practitioner other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/22/2018 and was last updated on 3/19/2024.

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
1363LF0000XNurse PractitionerFamilyYes

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: 3/30/2025

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