ANNA BLYTHE BOTTINO


Address: 41 Park Creek Dr, Greenville, SC 29605-4270
Phone: 8647977400

ANNA BLYTHE BOTTINO (NPI# 1598370769) 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) 1598370769
Entity Type Individual
Full Name ANNA BLYTHE BOTTINO
Other Name ANNA BLYTHE PLEMMONS
Credential APRN
Practice Address 41 Park Creek Dr
Greenville
SC 29605-4270
Mailing Address 1131 Loch Lomand Dr
Greenville
SC 29615-3154
Practice Telephone 8647977400
Mailing Telephone 8649183119
Enumeration Date 2020-09-14
Last Update Date 2020-09-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 24247 SC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 41 PARK CREEK DR
City GREENVILLE
State SC
Zip Code 29605-4270

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548243264 April Keen Nutritionist 41 Park Creek Dr, Greenville, SC 29605-4270 2005-11-28
1508464991 Ashley Popham Physical Therapist 41 Park Creek Dr, Greenville, SC 29605-2960 2020-10-16
1285241745 Nathan Andrew Hogue Social Worker 41 Park Creek Dr, Greenville, SC 29605-4270 2020-09-29
1578101242 Jamie Nagle Dental Hygienist 41 Park Creek Dr, Greenville, SC 29605-4270 2019-12-12
1265086953 Kirstie Brooke Jackson Licensed Practical Nurse 41 Park Creek Dr, Greenville, SC 29605-4270 2019-07-31
1275192874 Maggie Estelle Asman Student in an Organized Health Care Education/Training Program 41 Park Creek Dr, Greenville, SC 29605-4270 2019-06-07
1205494580 Tandi Gilmore Nurse Practitioner 41 Park Creek Dr, Greenville, SC 29605-4270 2019-06-03
1194288670 Haminah Laverne Johnson Social Worker 41 Park Creek Dr, Greenville, SC 29605-4270 2019-04-10
1578057600 Elora Ommen Optometrist 41 Park Creek Dr, Greenville, SC 29605-4270 2018-06-21
1639683402 Shannon M. Graham Social Worker 41 Park Creek Dr, Greenville, SC 29605-4270 2017-11-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205306099 Prisma Health University Medical Group Family Medicine 110 Osage Drive, Greenville, SC 29605 2018-12-05
1306325626 Lauren Foster Fiscus Occupational Therapist 1900 Augusta Street, Suite 2500, Greenville, SC 29605 2018-08-08
1063914372 Harris Teeter LLC Durable Medical Equipment & Medical Supplies 1720 Augusta St, Greenville, SC 29605 2018-03-02
1144748385 Johanna Ruth Henry Speech-Language Pathologist 1900 Augusta St., Suite 2500, Greenville, SC 29605 2017-09-08
1477083483 Alexis Dean Pedigo Speech-Language Pathologist 1900 Augusta St, Suite 2500, Greenville, SC 29605 2017-06-13
1134658420 Trace Christopher Deighan Obstetrics & Gynecology 890 West Faris Road, Suite 470, Greenville, SC 29605 2017-06-08
1023569837 Blessed With Goodness, LLC In Home Supportive Care 716 E. Fairfield Road, Unit 120 (mailbox # 14), Greenville, SC 29605 2016-10-17
1972050953 Suha Umina Pharmacist 975 W. Faris Road, Greenville, SC 29605 2016-09-07
1124470976 Meredith Laine Cavagrotti Specialist/Technologist 700 Grove Rd, Greenville, SC 29605 2016-07-05
1205286895 Med-trans Corporation Ambulance 552 Perimeter Rd, Greenville, SC 29605 2016-06-15
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609482280 Deanna Mclamb Nurse Practitioner 3102 Bell Arthur Rd, Greenville, NC 27834-4758 2020-09-19
1801401252 Jodi Lynn Tesch Nurse Practitioner N984 Glennview Dr, Greenville, WI 54942-8531 2020-09-12
1760091482 Melinda Kathryn Galford Nurse Practitioner 320 Falls St Apt 303, Greenville, SC 29601-2830 2020-07-28
1801414750 Christopher Mangus Nurse Practitioner 1806 E 1st St Apt R9, Greenville, NC 27858-2214 2020-07-08
1932751559 Caroline Gray Riddick Nurse Practitioner 527 Mills Ave # 201a, Greenville, SC 29605-5602 2019-07-13
1437621323 Queeneice Boyette Ganison Nurse Practitioner 205 S Delta St, Greenville, MS 38703-4420 2018-12-18
1881169662 Gerald Braden Wiggs Nurse Practitioner 3023 Fernleaf Dr, Greenville, NC 27858-8192 2018-10-09
1073091286 Natalie Isbell Ragsdale Nurse Practitioner 20 Mcgee St, Greenville, SC 29601-2210 2018-07-31
1760980908 Angela Nicole Gary Nurse Practitioner 1003 Grove Rd Ste C2, Greenville, SC 29605-4623 2018-01-23
1023527934 Jennifer Anne Hovis Nurse Practitioner Hcr 2 5355, Greenville, MO 63944 2017-09-22
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Competitor

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City GREENVILLE
Zip Code 29605

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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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