MICHELLE RAE BOTTRELL (NPI# 1891036091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891036091 |
Entity Type | Individual |
Full Name | MICHELLE RAE BOTTRELL |
Credential | APRN-BC |
Practice Address |
4101 Woolworth Ave Omaha NE 68105-1850 |
Practice Telephone | 4019435572 |
Mailing Telephone | 4019435572 |
Enumeration Date | 2013-03-13 |
Last Update Date | 2013-03-13 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
111469 | NE | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
4101 WOOLWORTH AVE |
City | OMAHA |
State | NE |
Zip Code | 68105-1850 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598759870 | Allan Hancock | Dentist | 4101 Woolworth Ave, Dental Department 160, Omaha, NE 68105-1850 | 2005-09-01 |
1164034849 | Richard Dunn | Pharmacy Technician | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2020-08-23 |
1558979575 | Kristianna L Farley | Nurse Practitioner | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2020-07-15 |
1427671080 | Kelly Lea Baxter | Pharmacist | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2020-05-18 |
1255954806 | Ashleigh Grammar | Pharmacist | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2020-05-18 |
1437784170 | Chad Michael Conrad | Respiratory Therapist, Registered | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2020-03-03 |
1437783669 | Jordan Lynn Ruskamp | Registered Nurse | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2020-02-26 |
1467009902 | Michelle Marie Inzauro | Registered Nurse | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2019-08-20 |
1720633092 | Jacob Leons | Audiologist | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2019-08-05 |
1477118230 | Topacio Anahi Ortiz | Dietitian, Registered | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2019-05-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679018030 | Buoyant Family Services Counseling and Consulting LLC | Community/Behavioral Health | The Center 1941 South 42nd Street, Suite 416 S, Omaha, NE 68105 | 2016-12-21 |
1497104442 | Michael Lee Powell | Family Medicine | 4305 Dewey Ave, Omaha, NE 68105 | 2016-06-10 |
1164896361 | Kyla Haner | Counselor | 1941 S. 42nd St. Ste 514, Omaha, NE 68105 | 2015-11-25 |
1114359189 | Kayli Ann Bendlin | Pharmacist | 4101 Woolworth Ave.-mailstop 119, Va Medical Center-pharmacy Department, Omaha, NE 68105 | 2013-08-01 |
1740622372 | Ashley M Ortiz | Nurse Practitioner | 4350 Dewey Avenue, Omaha, NE 68105 | 2013-07-24 |
1043519655 | Mandy J Hansen | Counselor | 2101 S. 42nd Street, Omaha, NE 68105 | 2011-03-22 |
1851537302 | Magda Maria Blanco | Counselor | 1941 South 42nd St Suite 541, Suite 541, Omaha, NE 68105 | 2009-01-05 |
1609050848 | James Joseph Shehan | Internal Medicine | 4100 Woolworth, Omaha, NE 68105 | 2007-12-24 |
1407051477 | Cristian D Clark | Counselor | 2101 S 42nd Street, Heartland Family Service, Omaha, NE 68105 | 2007-06-19 |
1831312305 | Kelli Renae Welvaert | Counselor | 2101 So 42 St, Heartland Family Service, Omaha, NE 68105 | 2007-04-11 |
Find all providers in zip 68105 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477049013 | Eileen Marie Dineen | Nurse Practitioner | 14161 Franklin St, Omaha, NE 68154-3865 | 2018-07-06 |
1760857916 | Jerry A Patry | Nurse Practitioner | 7710 Mercy Rd Ste 509, Omaha, NE 68124-2346 | 2015-12-13 |
1386989218 | Rachel Nicole Fortney | Nurse Practitioner | 985330 Nebraska Medical Ctr, Room 40114, Omaha, NE 68198-5330 | 2012-12-04 |
1649570250 | Sara Lynne Wolfson | Nurse Practitioner | 2104 S 110th St, Omaha, NE 68144-3115 | 2010-10-28 |
1114248069 | Mary Kay Gamble | Nurse Practitioner | 5755 Sorensen Pkwy, Omaha, NE 68152-2370 | 2010-06-15 |
1275689101 | Ginger Rogers | Nurse Practitioner | 13927 Monroe St, Omaha, NE 68137-4044 | 2007-01-25 |
1558979682 | Maya A Manjarrez | Nurse Practitioner | 4920 S 30th St Ste 103, Omaha, NE 68107-1656 | 2020-07-15 |
1831670165 | Shelly Retikis | Nurse Practitioner | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2018-08-24 |
1134403173 | Jean Meister | Nurse Practitioner | 11207 W Dodge Rd Ste 250, Omaha, NE 68154-2650 | 2011-10-10 |
1962635227 | Marcia K Merboth | Nurse Practitioner | 8710 Frederick St, Suite 100, Omaha, NE 68124 | 2009-09-02 |
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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.