TIERNEY REGAN BOTTINO


Address: 3650 Colonial Ct, Fort Myers, FL 33913-6636
Phone: 2392746070

TIERNEY REGAN BOTTINO (NPI# 1508474370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508474370
Entity Type Individual
Full Name TIERNEY REGAN BOTTINO
Practice Address 3650 Colonial Ct
Fort Myers
FL 33913-6636
Mailing Address 4 Emerson Pl Apt Th3
Boston
MA 02114-2287
Practice Telephone 2392746070
Mailing Telephone 8156850980
Enumeration Date 2020-07-17
Last Update Date 2020-07-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
4 Emerson Pl Apt Th3, Boston, MA 021142287 8156850980

Office Location

Street Address 3650 COLONIAL CT
City FORT MYERS
State FL
Zip Code 33913-6636

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720376569 Robert M Hawkes Physician Assistant 3650 Colonial Ct, Fort Myers, FL 33913-6636 2011-07-14
1124679501 Kala Garth Physician Assistant 3650 Colonial Ct, Fort Myers, FL 33913-6636 2019-09-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467079368 Fq0014 Clinic/Center 11930 Fairway Lakes Dr, Ste 103, Fort Myers, FL 33913 2020-06-26
1386272334 Chrysallis Wellness Center Inc Counselor 11932 Faiway Lakes, Fort Myers, FL 33913 2020-03-27
1811459399 Kelly Christine Reynolds Student in an Organized Health Care Education/Training Program 11750 Rosemount Drive, Fort Myers, FL 33913 2019-04-03
1043784432 Alex Richard Reynolds Physician Assistant 2700 Creekside Ln, Suit 101, Fort Myers, FL 33913 2019-01-18
1881196541 Kara Seanor Counselor 12575 Stone Tower Loop, Fort Myers, FL 33913 2018-03-08
1063951515 Publix Super Markets Inc Durable Medical Equipment & Medical Supplies 13121 Paul J. Doherty Pkwy, Fort Myers, FL 33913 2017-02-16
1518337492 Barry K Butler P.a. Internal Medicine 10708 Bradbury Way, Fort Myers, FL 33913 2015-10-05
1811322886 Bernard Timothy Renner Pharmacist 10000 Gulf Coast Town Center Drive, Ft. Myers, FL 33913 2013-09-10
1831531979 Debra Anne Channer Pharmacist 12550 Professional Park Drive Unit 1, Walgreens Co., Ft. Myers, FL 33913 2013-07-17
1144572249 Victoria Sydeco Tayengco-maisog Pediatrics 9304 Trieste Drive, Fort Myers, FL 33913 2012-10-12
Find all providers in zip 33913

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881213833 Seemal Sanjana Kumar Student in an Organized Health Care Education/Training Program 3000 Oasis Grand Blvd Apt 903, Fort Myers, FL 33916-1599 2020-04-09
1548898703 Alejandro Garcia Student in an Organized Health Care Education/Training Program 5553 Whispering Willow Way, Fort Myers, FL 33908-4511 2020-03-31
1134780646 Ximena Hurtado Student in an Organized Health Care Education/Training Program 17391 Sterling Lake Dr, Fort Myers, FL 33967-7221 2019-06-25
1790341030 Alaina Terez Todd Student in an Organized Health Care Education/Training Program 17007 Wrigley Cir, Fort Myers, FL 33908-3802 2019-05-13
1811450240 Ana Carolina D Barbosa Student in an Organized Health Care Education/Training Program 8960 Dorchester St, Fort Myers, FL 33907-5911 2019-04-11
1811459399 Kelly Christine Reynolds Student in an Organized Health Care Education/Training Program 11750 Rosemount Drive, Fort Myers, FL 33913 2019-04-03
1275068769 Maia Dunn Student in an Organized Health Care Education/Training Program 9673 Bay Harbor Cir, Apt 204, Fort Myers, FL 33919-5721 2017-04-21
1770016636 Alexandra Marie Menillo Student in an Organized Health Care Education/Training Program 9679 Bay Harbor Cir Apt 203, Fort Myers, FL 33919-5723 2017-04-07
1841676590 Gary Pham Student in an Organized Health Care Education/Training Program 1741 Red Cedar Drive Apt 20, Fort Myers, FL 33907 2015-08-05
1477153229 Evalenee Marie Feutz Student in an Organized Health Care Education/Training Program 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 2020-10-30
Find all providers in FORT MYERS

Competitor

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City FORT MYERS
Zip Code 33913

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Dataset Information

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.

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