TAMRA LEI BOTELER (NPI# 1194075762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194075762 |
| Entity Type | Individual |
| Full Name | TAMRA LEI BOTELER |
| Practice Address |
4440 E Highway 287 Midlothian TX 76065-5576 |
| Practice Telephone | 9727235590 |
| Mailing Telephone | 9727235590 |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2014-04-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers | ||
| Y | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
DT81661 | TX | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 207164901 | 05 | |
| TX | 149984001 | 05 |
| Street Address |
4440 E HIGHWAY 287 |
| City | MIDLOTHIAN |
| State | TX |
| Zip Code | 76065-5576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205879855 | Charles Raymond Leach | Internal Medicine | 4440 E Highway 287, Midlothian, TX 76065-5576 | 2006-06-13 |
| 1083143093 | Nguyet Anh Nguyen | Physician Assistant | 4440 E Highway 287, Midlothian, TX 76065-5576 | 2017-06-05 |
| 1649618612 | Kristi Jean Garrett | Internal Medicine | 4440 E Highway 287, Midlothian, TX 76065-5576 | 2013-06-11 |
| 1225388713 | Monica Leigh Talley-essex | Nurse Practitioner | 4440 E Highway 287, Midlothian, TX 76065-5576 | 2012-09-12 |
| 1851646491 | Kristen Michelle Bold | Physician Assistant | 4440 E Highway 287, Midlothian, TX 76065-5576 | 2012-07-19 |
| 1043533664 | John Steven Hanley | Family Medicine | 4440 E Highway 287, Midlothian, TX 76065-5576 | 2010-03-10 |
| 1508097155 | Jay Pribble | Physician Assistant | 4440 E Highway 287, Midlothian, TX 76065-5576 | 2009-07-30 |
| 1780850099 | Charlie Ruby D O P A | Family Medicine | 4440 E Highway 287, Midlothian, TX 76065-5576 | 2008-05-06 |
| 1255540514 | Achal Pankaj Modi | Urology | 4440 E Highway 287, Midlothian, TX 76065-5576 | 2007-05-22 |
| 1396969176 | Earl C. Ruby | Family Medicine | 4440 E Highway 287, Midlothian, TX 76065-5576 | 2007-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487271375 | Methodist Hospitals of Dallas | General Acute Care Hospital | 1201 E Us Hwy 287, Midlothian, TX 76065 | 2020-06-26 |
| 1568085033 | Kyle Jason Mitchell | Social Worker | 4025 E Us 287, Midlothian, TX 76065 | 2020-05-19 |
| 1912549833 | Prestige Dermatology of Midlothian | Dermatology | 320 Hawkins Run Rd., Suite 1, Midlothian, TX 76065 | 2019-10-11 |
| 1669939336 | John Morgan Buie | Dentist | 2410 Fm 663, Suite 200, Midlothian, TX 76065 | 2019-02-28 |
| 1891264685 | Aaric Shammah Services LLC | Community/Behavioral Health | 6610 Dempsey Ln, Midlothian, TX 76065 | 2018-11-21 |
| 1952883399 | Tabitha Jayne Schwark | Occupational Therapy Assistant | 938 Mill Pond Dr., Midlothian, TX 76065 | 2018-09-01 |
| 1306348867 | Linda Susan Rose | Licensed Vocational Nurse | 4081 Walnut Ln, Midlothian, TX 76065 | 2018-03-01 |
| 1922524362 | Jacqueline C. Avalos | Counselor | 5431 Montgomery Rd., Midlothian, TX 76065 | 2017-08-17 |
| 1215322169 | Midtown 2013 Re, LLC | Assisted Living Facility | 910 S. 9th Street, Midlothian, TX 76065 | 2015-03-30 |
| 1902218852 | Katherine Pederson | Family Medicine | 2230 Bryan Pl Ste 200, Midlothian, TX 76065 | 2014-05-27 |
| Find all providers in zip 76065 | ||||
| Taxonomy Code | 133VN1004X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Pediatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821606898 | Jennifer Wilfong | Dietitian, Registered | 400 Gibraltar Ln, Lorena, TX 76655-3622 | 2020-07-16 |
| 1871152264 | West Texas Dietetics, LLC | Dietitian, Registered | 1547 Stubbs St, Amarillo, TX 79106-2307 | 2019-06-10 |
| 1588145171 | Lea Peyton Gebhardt | Dietitian, Registered | 809 W 12th St Ste E4, Austin, TX 78701-1703 | 2018-08-22 |
| 1225553068 | Sarah Dluhos | Dietitian, Registered | 11490 Walnut Rd, College Station, TX 77845-6246 | 2017-08-12 |
| 1396268439 | Estep Nutrition Consulting Inc | Dietitian, Registered | 720 N Post Oak Rd Ste 280, Houston, TX 77024-3813 | 2017-07-20 |
| 1104366970 | Janelle Marie Andonie Bocock | Dietitian, Registered | 6162 Maple Ave Apt 2308, Dallas, TX 75235-6820 | 2017-02-27 |
| 1982080396 | My Frisco Dietitian | Dietitian, Registered | 8553 Davis Dr, Frisco, TX 75034-8295 | 2015-08-07 |
| 1114301546 | Katia Vega | Dietitian, Registered | 1805 Ruben Torres Blvd Ste B29a, Brownsville, TX 78521-1115 | 2015-07-15 |
| 1457697260 | Certified Nutrition Consultants, Pllc | Dietitian, Registered | 855 W Price Rd, Suite 3, Brownsville, TX 78520-8742 | 2012-12-26 |
| 1992061691 | Chelsea Carson Schulz | Dietitian, Registered | 6206 Iola Ave, Suite 109, Lubbock, TX 75604 | 2012-04-06 |
| Find all providers with the same taxonomy | ||||
| City | MIDLOTHIAN |
| Zip Code | 76065 |
Please comment or provide details below to improve the information on TAMRA LEI BOTELER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.