Marlene Ann Bott, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

197155 Issued in NY

Practice address

3116 State Route 245
Stanley, NY 14561-9732

Phone

(585) 489-7610

NPI assigned

Jun 11, 2019

Last updated

Jun 25, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1447819701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3116 STATE ROUTE 245",
            "city": "STANLEY",
            "state": "NY",
            "postal_code": "145619732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3116 STATE ROUTE 245",
            "city": "STANLEY",
            "state": "NY",
            "postal_code": "145619732",
            "telephone_number": "585-489-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTT",
        "first_name": "MARLENE",
        "middle_name": "ANN",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "197155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corinna Jo Borden, RN
• Donna Marie Brown, LPN
• Bonnie Cappiello
• Brandon Marquis Crayon
• Allyssa Curtis, MSPT
• Jamie Lee Darnell, RN

• Licensed Practical Nurse in Stanley, NY
• Providers in Stanley, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.