NICOLE MARIE BOTHMAN (NPI# 1437717360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437717360 |
| Entity Type | Individual |
| Full Name | NICOLE MARIE BOTHMAN |
| Practice Address |
308 Louisiana Ave Ste 1 Libby MT 59923-2159 |
| Practice Telephone | 4062836800 |
| Mailing Telephone | 4062836800 |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | NUR-APRN-APP-144 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
308 LOUISIANA AVE STE 1 |
| City | LIBBY |
| State | MT |
| Zip Code | 59923-2159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093822736 | Joseph Peter Nicoletto | Urology | 308 Louisiana Ave Ste 1, Libby, MT 59923-2159 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518504596 | Office of Randy Guinard, Lcsw LLC | Social Worker | 703 California Avenue, Libby, MT 59923 | 2019-12-09 |
| 1952641615 | Kristi Lynn Lovejoy | Massage Therapist | 952 E Spruce, Libby, MT 59923 | 2013-02-18 |
| 1891943981 | Rita Haidle Billow | Psychologist | 320 E. 2nd Street, Libby, MT 59923 | 2008-09-03 |
| 1225229347 | Mark Serra | Emergency Medicine | 350 Louisiana Avenue, Libby, MT 59923 | 2007-08-05 |
| 1992910319 | Joel A Riddel | Chiropractor | 1115 Minnesota Ave, Libby, MT 59923 | 2007-05-10 |
| 1184743056 | Carol J. Kelly | Counselor | 1469 Highway 2 South, Libby, MT 59923 | 2007-03-29 |
| 1578696464 | Robert Hanley | Counselor | 711 California Avenue, Libby, NE 59923 | 2007-03-13 |
| 1851463947 | Steven L Sorensen | Optometrist | 422 Louisiana Ave, Libby, MT 59923 | 2006-11-14 |
| 1295823979 | Clyde Allen Knecht | Family Medicine | 403 Utah Ave, Libby, MT 59923 | 2006-10-10 |
| 1982717625 | Fisher River Volunteer Fire Company | Ambulance | 100 West Camp Road, Libby, MT 59923 | 2006-08-16 |
| Find all providers in zip 59923 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336457571 | Natasha Haines | Nurse Practitioner | 116 E Balsam St, Libby, MT 59923-2402 | 2010-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801370 | Brittany Carnahan | Nurse Practitioner | 5635 Rainbow Dr, Helena, MT 59602-9574 | 2020-08-10 |
| 1871132712 | Taylor Erin Hatcher | Nurse Practitioner | 1033 N 31st St, Billings, MT 59101-0748 | 2019-12-24 |
| 1639654304 | Christine Marie Fanelli | Nurse Practitioner | 28 Coyote Trl, Ennis, MT 59729-9187 | 2018-09-28 |
| 1558884064 | Sharon Marie Herndon | Nurse Practitioner | 2230 N Reserve St Ste 402, Missoula, MT 59808 | 2017-07-18 |
| 1790236958 | Stanley Brammeier | Nurse Practitioner | 1203 15th St., Fort Benton, MT 59442 | 2016-10-21 |
| 1427418128 | Ami Shetler | Nurse Practitioner | 2085 1/2 Watts Ln, Bozeman, MT 59718-1410 | 2016-02-24 |
| 1659741106 | Lauren Marie Mckay | Nurse Practitioner | 1011 Wilder Ave, Helena, MT 59601-2538 | 2015-09-28 |
| 1285002923 | Rejuvecare Clinic | Nurse Practitioner | 77 3rd Avenue West N, Kalispell, MT 59901-4049 | 2015-09-11 |
| 1083015242 | Arlon Harris Bennett | Nurse Practitioner | 2230 27th Ave Ste 3, Missoula, MT 59804-5128 | 2014-09-08 |
| 1821407347 | Gina Cotton Hansen | Nurse Practitioner | 401 15th Ave S Ste 205, Great Falls, MT 59405-4334 | 2014-08-08 |
| Find all providers with the same taxonomy | ||||
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| 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.