Taylor Bottjen

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

17030 Issued in IA

Practice address

1115 5TH St
Sioux City, IA 51101-1905

Phone

(712) 255-0890

NPI assigned

Apr 4, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Wellness Associates, Inc.

  • Community/Behavioral Health Agency
  • Sioux City, IA
  • NPI 1518337054
  NPD (past)

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491264000000",
    "number": "1215460696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 5TH ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011905",
            "telephone_number": "712-255-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 5TH ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011905",
            "telephone_number": "712-255-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTJEN",
        "first_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-04",
        "last_updated": "2017-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": "17030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Rawlings Boots, LISW
• Nathaniel Bossert, PHARMD, RPH
• Bottger Anesthesia Services
• Judith A Bottger, CRNA
• Lindsy Bottger, LMT
• Abbi Boutwell
• Travis James Bowers, MA
• Shelby Elizabeth Mae Bownes, CNA, DSP, HHA
• Mykl Boyd-Raska
• Michele A Boykin, LISW

• Addiction (Substance Use Disorder) Counselor in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Addiction (Substance Use Disorder) Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.