Tracey L Bottazzi, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

047036-23 Issued in NH

Practice address

116 S River Rd Unit D-2
Bedford, NH 03110-6734

Phone

(603) 305-9964

Fax

(603) 371-2629

NPI assigned

Jun 30, 2010

Last updated

Jun 14, 2019By the provider in NPPES

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2019 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Interoperability endpoints

• Direct secure messaging: tracey.bottazzi@219248526622724.direct.elationemr.com

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1275844672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 S RIVER RD UNIT D-2",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106734",
            "telephone_number": "603-305-9964",
            "fax_number": "603-371-2629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 S RIVER RD UNIT D-2",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106734",
            "telephone_number": "603-305-9964",
            "fax_number": "603-371-2629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTAZZI",
        "first_name": "TRACEY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-30",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "047036-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie R. Cote
• Leanne Booth, MS, APRN
• Kathleen Jill Boselli
• Karina Bosman, MD
• Matthew Boston
• Ashley Marcelle Bouchard, PTA
• Madison Boucher
• Marcy K. Boucher, M.D.
• Mary Forrest Bowen
• Leah Bowers, NP-C

• Family Nurse Practitioner in Bedford, NH
• Providers in Bedford, NH by specialty
• Family Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.