Jimmie Bottcher, RDN
Individual provider Active NPI Registered Dietitian · Mountain BRK, AL
NPI 1255836730 · NPPES record last updated Mar 27, 2018
Key facts
- NPI
- 1255836730
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 1182 (AL)
- Practice address
- 4008 Rock Creek Way
Mountain BRK, AL 35223-3603 - Phone
- (205) 910-9366
- NPI assigned
- Mar 27, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cloud Health Medical Group, P.a. | Past | Accepting new patients | |
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
| Cloud Health Medical Group of New Jersey, P.C. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1182 | AL | Yes |
Addresses
Primary practice location
4008 Rock Creek Way
Mountain BRK, AL 35223-3603
Mailing address
4008 Rock Creek Way
Mountain BRK, AL 35223-3603
Phone (205) 910-9366
Other providers in Mountain BRK, AL
- Ellis Bernstein
- Billy Thornton Counseling and Consulting, LLC
- Anne Marie Birmingham
- Emily Elisabeth Blakely
- Carley Ryan Boone
- Janet McLaren Bouknight
- Sara Bowman
- Sara Elizabeth Bozeman
- Sommer Bradshaw
- Marilyn Claire Brian
All providers in Mountain BRK, AL · Registered Dietitian in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.