Active NPI
Lauren Rose Botelho, MSN, FNP-BC, RD, LDN
- Family Nurse Practitioner
- Southborough, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN2349852
- Practice address
- 24 Newton St
Southborough, MA 01772-1215 - Phone
- (508) 460-3258
- NPI assigned
- Mar 2, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 4074 | MA | |
| Family Nurse Practitioner | 363LF0000X | RN2349852 | MA | Primary |
Addresses
Primary practice location
24 Newton St
Southborough, MA 01772-1215
Mailing address
24 Newton St
Southborough, MA 01772-1215
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4074 | MA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Rehab Consultants PLLC | Family | Current | Accepting new patients |
| Reliant Medical Group, Inc | Past | Accepting new patients |
Locations
415 W Golf Rd
Ste 26
Arlington Hts, IL 60005
40 Parkhurst Rd
Chelmsford, MA 01824
Phone (978) 251-3151
184 Main St
Fairhaven, MA 02719
Phone (508) 742-3737
121 Northboro Rd E
Marlborough, MA 01752
Phone (508) 485-4040
Interoperability endpoints
- lauren.botelho.npi1346600475.reliant@direct.optumcare.masshiway.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Comprehensive Rehab Consultants LLC
- Physical Medicine & Rehabilitation Physician
- Middle River, MD
- NPI 1710529771
Family, MA
-
- Physical Therapist
- Worcester, MA
- NPI 1295827962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686700800000",
"number": "1346600475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 NEWTON ST",
"city": "SOUTHBOROUGH",
"state": "MA",
"postal_code": "017721215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 NEWTON ST",
"city": "SOUTHBOROUGH",
"state": "MA",
"postal_code": "017721215",
"telephone_number": "508-460-3258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOTELHO",
"first_name": "LAUREN",
"middle_name": "ROSE",
"credential": "MSN, FNP-BC, RD, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-02",
"last_updated": "2023-06-14",
"certification_date": "2023-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "4074",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2349852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southborough, MA
- Mariah Black, RN, BSN, MSN, FNP-C
- Elissa Katherine Blom
- Board Certified Footcare LLC (Paula Angelini, DPM)
- Catherine Mary Borella, PHARMD
- Boston Surgical Group, Inc.
- Chelsea Bradway-Francis, MS. ED
- Regina Brady
- Adam Bressler, MS
- Marie E. Briasco, N.P.
- Bridgman's Corp (Boost Home Healthcare Metro West Ma)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.