Ilham Bothner, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

163675 Issued in MA

Practice address

75 Springfield Rd
Suite 1
Westfield, MA 01085-1832

Phone

(413) 562-5173

Fax

(413) 562-1716

NPI assigned

May 11, 2006

Last updated

May 6, 2014By 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

Enrolled in MA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/734/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Family Medicine Associates

  • Adult Medicine Physician
  • Westfield, MA
  • NPI 1023153640
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399334400000",
    "number": "1356391072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 SPRINGFIELD RD",
            "address_2": "SUITE 1",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010851832",
            "telephone_number": "413-562-5173",
            "fax_number": "413-562-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 SPRINGFIELD RD",
            "address_2": "SUITE 1",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010851832",
            "telephone_number": "413-562-5173",
            "fax_number": "413-562-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTHNER",
        "first_name": "ILHAM",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2014-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "163675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noore Borhot
• Brenda Suzanne Borowsky
• Kaylee Bosinger
• Rebecca Bosse
• Johnna Bossuot
• Angela Margaret Bouchard
• Alyssa Boucher
• Sarah Boudreau, MA
• Samantha Jane Bowen, DPT
• Doreen Marilyn Boyer, OTA/L

• Nurse Practitioner in Westfield, MA
• Providers in Westfield, MA by specialty
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; 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.

Verify at the official NPI Registry.