VINCENT BOTTA (NPI# 1992121156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992121156 |
| Entity Type | Individual |
| Full Name | VINCENT BOTTA |
| Credential | A.P.N. |
| Practice Address |
444 N Eola Rd Ste 110 Aurora IL 60502-9619 |
| Mailing Address |
2340 S Eola Rd Ste 100 Aurora IL 60503-6410 |
| Practice Telephone | 6306925660 |
| Practice Fax Number | 6306925661 |
| Mailing Telephone | 6306925190 |
| Mailing Fax Number | 6306925185 |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2020-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209011348 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1100 W Veterans Pkwy, Yorkville, IL 605604728 | 6304668200 | 6304663393 |
| 2040 Ogden Ave Ste 215, Aurora, IL 605047205 | 6303752844 | |
| 2340 S Eola Rd Ste 100, Aurora, IL 605036410 | 6306925190 | 6306925185 |
| 245 S Gary Ave, Bloomingdale, IL 601082228 | 6308935230 | |
| 472 Route 47, Sugar Grove, IL 605548107 | 6304666000 | 6304666001 |
| 4789 Route 71, Oswego, IL 605437415 | 6306925730 | 6306925731 |
| Street Address |
444 N EOLA RD STE 110 |
| City | AURORA |
| State | IL |
| Zip Code | 60502-9619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164515326 | Jennifer A Thurmond | Nurse Practitioner | 444 N Eola Rd Ste 110, Aurora, IL 60502-9619 | 2006-10-02 |
| 1346722535 | Cara Anne Martinez | Registered Nurse | 444 N Eola Rd Ste 110, Aurora, IL 60502-9619 | 2018-09-04 |
| 1083123038 | Kevin Peters | Nurse Practitioner | 444 N Eola Rd Ste 110, Aurora, IL 60502-9619 | 2017-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750816856 | Amanda Robinson | Behavior Technician | 452 Behavioral Perspective, Aurora, IL 60502 | 2017-04-26 |
| 1982141743 | Kathleen Werrline | Behavior Technician | 452 N Eola Rd A, Aurora, IL 60502 | 2017-01-31 |
| 1700276094 | Kati Jo Clish | Developmental Therapist | 3138 Whitney Road, Aurora, IL 60502 | 2015-01-26 |
| 1821430513 | Central Du Page Hospital Assn | Non-Pharmacy Dispensing Site | 2635 Church Rd, Aurora, IL 60502 | 2013-07-23 |
| 1417219437 | Krystle Cordova Gadrinab-jones | Family Medicine | 1222 N Eola Rd Ste D, Aurora, IL 60502 | 2012-06-14 |
| 1063794642 | Jimit Baxi | Pharmacist | 2986 Kirk Road, Aurora, IL 60502 | 2011-09-09 |
| 1154532315 | Dmj Home Health Services, Inc | Home Health | 2720 E. New York St., Suite 120, Aurora, IL 60502 | 2007-05-26 |
| 1336211770 | Gary Joseph Masterson | Optometrist | 405 North Eola Rd, Suite K, Aurora, IL 60502 | 2006-11-14 |
| 1760580708 | Deborah J Riddell | Advanced Practice Midwife | 2972 Indian Trail Road, Suite A, Aurora, IL 60502 | 2006-09-21 |
| 1811001779 | Dinesh J Patel Dds PC | Dentist | 405 N Eola Rd, #l, Aurora, IL 60502 | 2006-08-18 |
| Find all providers in zip 60502 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466855 | Cassandra Elizabeth Saad | Nurse Practitioner | 4024 S Rifle Way, Aurora, CO 80013-3240 | 2020-10-27 |
| 1992304471 | Amanda Michelle Heibult | Nurse Practitioner | 22047 E Ridge Trail Dr, Aurora, CO 80016-2668 | 2020-10-26 |
| 1902405038 | Rosalind Daninger | Nurse Practitioner | 1390 S Potomac St Ste 128, Aurora, CO 80012-4529 | 2020-10-20 |
| 1942817408 | Salwa Mourtada Bamba | Nurse Practitioner | University of Colorado Medicine, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-09-29 |
| 1841807617 | Kanwal Jiwani | Nurse Practitioner | 2670 Clara Ave, Aurora, IL 60502-9653 | 2020-09-25 |
| 1336757384 | Angela Kay Savage | Nurse Practitioner | 2600 S Parker Rd Unit 2, Aurora, CO 80014-1613 | 2020-07-15 |
| 1700403029 | Peter M Quansah | Nurse Practitioner | 25204 E Byers Dr, Aurora, CO 80018-4661 | 2020-07-02 |
| 1427674654 | Megan D Edwards | Nurse Practitioner | 2600 S Parker Rd Bldg 2-120, Aurora, CO 80014-1613 | 2020-06-23 |
| 1720602097 | Sofia Figueroa | Nurse Practitioner | 157 S Lincoln Ave Ste K, Aurora, IL 60505-4291 | 2020-06-02 |
| 1588290456 | Andrea Holmes | Nurse Practitioner | 9982 Windjammer Trl, Aurora, OH 44202-9026 | 2020-03-23 |
| Find all providers in AURORA | ||||
Please comment or provide details below to improve the information on VINCENT BOTTA.
| 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.