Providence Musomandera Botne, R.N.

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

R53622 Issued in NM

Practice address

2600 Marble
Albuquerque, NM 87151-0001

Phone

(505) 839-8839

Fax

(505) 839-8989

NPI assigned

Nov 8, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1326029240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10712 CENTRAL PARK DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871234849",
            "telephone_number": "505-292-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 MARBLE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871510001",
            "telephone_number": "505-839-8839",
            "fax_number": "505-839-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTNE",
        "first_name": "PROVIDENCE",
        "middle_name": "MUSOMANDERA",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NM",
            "license": "R53622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R.N.LICENCE",
            "identifier": "R53622",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne D Bostwick
• Ava Ann Boswell, M.D.
• Cal Barkley Boswell
• Mary Ann Bosworth, MA CCC-SLP
• Hanno Botha
• Linda Botone
• James Andrew Botros, M.D.
• Megan Bott
• Khadijah Bottom, CHW
• Kim Botvin

• Adult Psychiatric/Mental Health Registered Nurse in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Adult Psychiatric/Mental Health Registered Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.