COLLEEN BOTOS (NPI# 1508346800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508346800 |
| Entity Type | Individual |
| Full Name | COLLEEN BOTOS |
| Practice Address |
5671 N Skeel Ave Ste 6 Oscoda MI 48750-1535 |
| Mailing Address |
1335 Kunze Rd East Tawas MI 48730-9597 |
| Practice Telephone | 9897473036 |
| Practice Fax Number | 9897473037 |
| Mailing Telephone | 9898202881 |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2018-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
4704311007 | MI | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1199 Harris Ave, Tawas City, MI 487639681 | 9893628636 | 9893627800 |
| Street Address |
5671 N SKEEL AVE STE 6 |
| City | OSCODA |
| State | MI |
| Zip Code | 48750-1535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518432343 | Heather Leigh Smith | Social Worker | 5671 N Skeel Ave Ste 6, Oscoda, MI 48750-1535 | 2018-10-08 |
| 1326529017 | Susan Buresh | Social Worker | 5671 N Skeel Ave Ste 6, Oscoda, MI 48750-1535 | 2018-08-22 |
| 1699255646 | Tammie Lynn Wainwright | Social Worker | 5671 N Skeel Ave Ste 6, Oscoda, MI 48750-1535 | 2018-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962907105 | Moira Maus | Occupational Therapist | Aune Medical Center, 5671 N. Skeel Avenue, Oscoda, MI 48750 | 2018-03-29 |
| 1760938310 | Mark Jordan | Pharmacist | 5719 Us 23, Oscoda, MI 48750 | 2016-09-01 |
| 1942560933 | Jennifer L Broers | Dentist | 5671 N. Skeel Ave., Suite 8, Oscoda, MI 48750 | 2012-05-23 |
| 1386957355 | Trudi Lynn Marsh | Social Worker | 5671 N. Skeel Ave, Suite 6, Oscoda, MI 48750 | 2010-07-20 |
| 1508184425 | Calvin J. Maestro Jr. | Family Medicine | 9100b Wyoming St, Oscoda, MI 48750 | 2010-05-17 |
| 1285957597 | Sheila Diane Payea | Pharmacist | 5719 N Us23, Oscoda, MI 48750 | 2010-03-02 |
| 1225269152 | Midmichigan Medical Center-alpena | Durable Medical Equipment & Medical Supplies | 109 Evergreen, Oscoda, MI 48750 | 2009-07-27 |
| 1992957534 | Tara Elann Swanton | Dentist | 4460 East County Road F-41, Oscoda, MI 48750 | 2008-10-15 |
| 1629276456 | Oscoda Area Chiropractic Center | Chiropractor | 5671 N Skeel Avenue, Oscoda, MI 48750 | 2007-07-03 |
| 1760554539 | Terry David Trombley | Chiropractor | 5671 N Skeel, Oscoda, MI 48750 | 2006-11-15 |
| Find all providers in zip 48750 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154946705 | Ahuva Lakier | Registered Nurse | 15895 Harden Cir, Southfield, MI 48075-3042 | 2020-06-09 |
| 1891351540 | Frederick Patrick | Registered Nurse | 2864 125th Ave, Allegan, MI 49010-9276 | 2019-05-17 |
| 1801452578 | Lolita Curry | Registered Nurse | 32 East 1200 Telegraph, Pontiac, MI 48341 | 2019-05-17 |
| 1275003113 | Cathleen Brooks | Registered Nurse | 1200 N Telegraph Rd # 32, Pontiac, MI 48341-1032 | 2018-12-04 |
| 1679041545 | Shiba Lashon Nixon | Registered Nurse | New Oakland, 6549 Town Center Suite A, Clarkston, MI 48346 | 2018-11-08 |
| 1780168856 | Alison Male | Registered Nurse | 530 W Oldfield St, Alpena, MI 49707-1810 | 2018-09-24 |
| 1811416845 | Karen Sue Franks | Registered Nurse | 615 E. Crosstown Parkway, Kalamazoo, MI 49009 | 2017-09-11 |
| 1083131924 | Kristen Lynn Little | Registered Nurse | 3726 Spruce Run, White Lake, MI 48383-3523 | 2017-08-22 |
| 1396269379 | Emily Elisabeth Ann Pawlowski | Registered Nurse | 12021 Cardwell St, Livonia, MI 48150-2355 | 2017-08-01 |
| 1801318936 | Dawn Krieger | Registered Nurse | Po Box 220, Bellaire, MI 49615-0220 | 2017-07-11 |
| 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.