ELIZABETH BOTHFELD (NPI# 1912113887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912113887 |
| Entity Type | Individual |
| Full Name | ELIZABETH BOTHFELD |
| Credential | NP |
| Practice Address |
345 W Washington Ave Madison WI 53703-2996 |
| Mailing Address |
202 S Park St Madison WI 53715-1507 |
| Practice Telephone | 6084178300 |
| Practice Fax Number | 6084178301 |
| Mailing Telephone | 6084176000 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2015-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
2139-033 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
345 W WASHINGTON AVE |
| City | MADISON |
| State | WI |
| Zip Code | 53703-2996 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134124530 | Gena M Vankirk | Dietitian, Registered | 345 W Washington Ave, Madison, WI 53703-2996 | 2005-06-14 |
| 1376150482 | Hurst Candid Wisconsin, Service Corporation | Dentist | 345 W Washington Ave, Madison, WI 53703-2996 | 2020-09-23 |
| 1609398080 | Lizabeth Kostelny | Social Worker | 345 W Washington Ave, Floor 5, Madison, WI 53703 | 2017-07-07 |
| 1831634047 | Rachel Helen Kelly | Physician Assistant | 345 W Washington Ave, Suite 100, Madison, WI 53703-2996 | 2016-12-23 |
| 1447615844 | April Kamnetz | Social Worker | 345 W Washington Ave, 501, Madison, WI 53703-2996 | 2015-12-30 |
| 1578959391 | Adam Howarth | Social Worker | 345 W Washington Ave, Suite 501, Madison, WI 53703-2996 | 2015-04-08 |
| 1811380033 | Kelly S Lutzen | Dietitian, Registered | 345 W Washington Ave, Madison, WI 53703-2996 | 2015-03-12 |
| 1942698618 | Elizabeth Gokey | Social Worker | 345 W Washington Ave, Suite 501, Madison, WI 53703-2996 | 2015-01-05 |
| 1407268634 | Gregory Raupp | Social Worker | 345 W Washington Ave, Madison, WI 53703-2996 | 2014-05-22 |
| 1508296765 | Michelle Harnisch | Dietitian, Registered | 345 W Washington Ave, Madison, WI 53703-2996 | 2013-11-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689291254 | Lynne's Moc, LLC | Optometrist | 512 State Street, Madison, WI 53703 | 2020-06-30 |
| 1407327844 | Deborah Ann Pape | Psychologist | 350 S. Hamilton St., Unit 504, Madison, WI 53703 | 2018-12-11 |
| 1336660216 | Kevin Shuai Lian | Radiology | 420 W Dayton St Unit 1142, Madison, WI 53703 | 2017-06-30 |
| 1295279461 | Colin T Graney | Podiatrist | 664 W. Washington Ave, Madison, WI 53703 | 2016-12-07 |
| 1093193690 | Ashley Przybilla | Pediatrics | Group Health Cooperative of South Central Wisconsin, 675 West Washington Avenue, Madison, WI 53703 | 2015-05-14 |
| 1043606841 | Kevin P Emmerich | Emergency Medicine | 390 West Johnson St, Madison, WI 53703 | 2015-04-09 |
| 1376983155 | Ann Renee Wingate | Counselor | 16 N. Hancock Street, Hancock Center, Madison, WI 53703 | 2013-06-26 |
| 1013269398 | See Inc | Optometrist | 437 State St, Madison, WI 53703 | 2012-10-10 |
| 1518243237 | Nathan Dufault | Specialist/Technologist | 305 S. Livingston St., Madison, WI 53703 | 2011-10-26 |
| 1518264142 | Candice Y Lewis | Health Maintenance Organization | 675 W.washington Ave. Group Health Cooperative of South, Madison, WI 53703 | 2011-02-17 |
| Find all providers in zip 53703 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952870289 | Sujata Karki | Nurse Practitioner | 402 N Eau Claire Ave Apt 309, Madison, WI 53705-2820 | 2018-11-15 |
| 1902341852 | Rebecca Weld Hall | Nurse Practitioner | 3245 Milwaukee St, Madison, WI 53714-1829 | 2017-01-02 |
| 1629525613 | Katherine Simons Melde | Nurse Practitioner | 2222 S Park St Ste 210, Madison, WI 53713 | 2016-09-07 |
| 1528449816 | Jenny Southwood | Nurse Practitioner | 8371 Highway 72 W Ste 104, Madison, AL 35758-9505 | 2015-06-12 |
| 1245508860 | Delicia Vanterpool | Nurse Practitioner | 8045 Highway 72 W Ste 100, Madison, AL 35758-9564 | 2011-12-09 |
| 1780970004 | Jill Katherine Steagall | Nurse Practitioner | 5395 E Cheryl Parkway, Madison, WI 53711 | 2011-06-24 |
| 1184861320 | Mississippi Nurse Practitioners Inc | Nurse Practitioner | 441 Kingsbridge Rd, Madison, MS 39110-7644 | 2009-01-09 |
| 1063543114 | Nancy Mccann Ranum | Nurse Practitioner | 333 E Campus Mall # 7307, # 7307, Madison, WI 53715-1381 | 2007-03-08 |
| 1265487748 | Kyle Diane Weisholtz | Nurse Practitioner | 36 Madison Avenue, Madison, NJ 07940 | 2006-05-23 |
| 1194701862 | Mos LLC | Nurse Practitioner | 256 Sw Washington Ave, Madison, FL 32340 | 2005-12-15 |
| Find all providers in MADISON | ||||
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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.