Colleen Marie Botterman

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

143446-30 Issued in WI

Practice address

500 City Ctr
Oshkosh, WI 54901-4830

Phone

(920) 410-2555

NPI assigned

Apr 8, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283904000000",
    "number": "1205009586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 WALNUT ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549011857",
            "telephone_number": "920-410-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CITY CTR",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549014830",
            "telephone_number": "920-410-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTERMAN",
        "first_name": "COLLEEN",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-08",
        "last_updated": "2010-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "143446-030",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "WI",
            "license": "143446-30",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35046600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meghan Boll, APNP
• Mary M Bolz, B.S., C.S.W.
• Chandralekha Bommakanti, M.D.
• Jamie G Bonell, APNP
• Aaron S Bos, M.D.
• Theresa A Boudreau-Vnuk, B.X.
• Cierra Jean Boutelle
• Nancy Bowens, APNP
• John S Boyle, MD
• Denice Ann Braaksma, OTR

• Case Management Registered Nurse in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Case Management Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.