Kathryn G Botelho, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

RN165964 Issued in GA

Practice address

401 S Main St
Suite B-8
Alpharetta, GA 30004-1974

Phone

(770) 521-2229

NPI assigned

Apr 30, 2008

Last updated

Apr 30, 2008By 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 GA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

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.

• The Southeast Permanente Medical Group

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1245266956

  Advanced Practice Midwife

  Medicare reassignment NPD
• Isis Obstetrics & Gynecology, LLC

  • Obstetrics & Gynecology Physician
  • Alpharetta, GA
  • NPI 1881768463
  NPD (past)

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1396911319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S MAIN ST",
            "address_2": "SUITE B-8",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300041974",
            "telephone_number": "770-521-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S MAIN ST",
            "address_2": "SUITE B-8",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300041974",
            "telephone_number": "770-521-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTELHO",
        "first_name": "KATHRYN",
        "middle_name": "G",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-30",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "GA",
            "license": "RN165964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Ruth Borders, RD LD
• Robert Keith Borger, DPT
• Alice Borukhov, RDN
• Scott Andrew Boschetto, PT ATC
• Michael Bostic
• Jessica Lynn Botero, OTR/L
• Dylan Both
• Lauren Botsch
• Evan Paul Boudreau, PHARM.D
• Kaci Boulware Kenon, PHARMD

• Advanced Practice Midwife in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Advanced Practice Midwife in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.