MR. RANDALL ANDREW BOTTELSON (NPI# 1801949276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801949276 |
| Entity Type | Individual |
| Full Name | MR. RANDALL ANDREW BOTTELSON |
| Credential | BS |
| Practice Address |
601 W 98th St Bloomington MN 55420-4715 |
| Practice Telephone | 9528812778 |
| Practice Fax Number | 9528812821 |
| Mailing Telephone | 9528812778 |
| Mailing Fax Number | 9528812821 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
MS | Other Service Providers |
| Street Address |
601 W 98TH ST |
| City | BLOOMINGTON |
| State | MN |
| Zip Code | 55420-4715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093936601 | S & K Alternatives LLC | Prosthetic/Orthotic Supplier | 601 W 98th St, Bloomington, MN 55420-4715 | 2007-05-01 |
| 1730232323 | Bottelson Enterprises | Durable Medical Equipment & Medical Supplies | 601 W 98th St, Bloomington, MN 55420-4715 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457986556 | Jon Brookson Engfer | Counselor | 8609 Lyndale Avenue South, Bloomington, MN 55420 | 2020-03-09 |
| 1720624810 | Sunshine Assisted Living Services LLC | Home Health | 9540 Columbus Ave S, Bloomington, MN 55420 | 2019-11-23 |
| 1417205246 | Jrb Holdings, LLC | Home Health | 9897 Lyndale Ave S, Bloomington, MN 55420 | 2012-08-28 |
| 1629223722 | Jennifer Jean Bormann | Audiologist | 8714 Lyndale Avenue South, Minneapolis, MN 55420 | 2008-11-18 |
| 1801055959 | Sarah J. Marsden | Speech-Language Pathologist | 900 W 94th St., Bloomington, MN 55420 | 2008-06-04 |
| 1699949784 | 1st Choice Care, Inc. | Home Health | 9035 Blaisdell Ave S, Bloomington, MN 55420 | 2008-04-18 |
| 1922295203 | Cornerstone Advocacy Service | Community/Behavioral Health | 1000 East 80th St, Bloomington, MN 55420 | 2007-10-01 |
| 1184769457 | Fairview Oxboro Pharmacy Mtm | Non-Pharmacy Dispensing Site | 600 W 98th Street, Bloomington, MN 55420 | 2007-02-21 |
| 1891831723 | A Caring Company, Inc. | In Home Supportive Care | 9001 East Bloomington Freeway, Sutie 145, Bloomington, MN 55420 | 2007-01-29 |
| 1134279318 | Jennifer Mary Connelly | Speech-Language Pathologist | 9001 E Bloomington Fwy Ste 141, Bloomington, MN 55420 | 2007-01-11 |
| Find all providers in zip 55420 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508124603 | Terrence Keith Halone | Specialist | 8736 Lyndale Ave S, Bloomington, MN 55420-2738 | 2012-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194223024 | Alissa Hoff | Specialist | 1595 Mn 36 - 584 10 Rosedale Center, Roseville, MN 55113 | 2018-01-25 |
| 1326214487 | Janice Coe Beeson | Specialist | 1601 Southcross Dr W, Burnsville, MN 55306-7013 | 2008-05-07 |
| 1043352446 | Patricia Ann Will | Specialist | 160 Jo Ray Dr, Mankato, MN 56001 | 2007-02-13 |
| 1447624929 | Kathy Buxton | Specialist | 1054 Green Gables Rd, East Gull Lake, MN 56401-3167 | 2015-11-20 |
| 1619198942 | David Benner Harris | Specialist | 2200 University Ave W, Suite 114, Saint Paul, MN 55114-1839 | 2007-05-02 |
| 1871651562 | Juanita L Hughes | Specialist | 1116 Broadway, Alexandria, MN 56308-2583 | 2006-12-05 |
| City | BLOOMINGTON |
| Zip Code | 55420 |
Please comment or provide details below to improve the information on MR. RANDALL ANDREW BOTTELSON.
| 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.