Dr Bottkol Aprn DNP LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

DR BOTTKOL APRN DNP LLC

Practice address

406 Lasiesta Drive
Mexico Beach, FL 32456

Phone

(850) 381-1866

NPI assigned

Dec 30, 2020

Last updated

Dec 30, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Christine Bottkol, APRN DNP

Title

Owner

Phone

(850) 381-1866

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609286400000",
    "number": "1447847983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 LASIESTA DRIVE",
            "city": "MEXICO BEACH",
            "state": "FL",
            "postal_code": "32456",
            "telephone_number": "850-381-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 LASIESTA DRIVE",
            "city": "MEXICO BEACH",
            "state": "FL",
            "postal_code": "32456",
            "telephone_number": "850-381-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR BOTTKOL APRN DNP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-30",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-22",
        "status": "A",
        "authorized_official_last_name": "BOTTKOL",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-381-1866",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN DNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Burkett
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• Tiffany C Godwin
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• David Poston, PHARMD
• Reframe Counseling and Wellness, LLC

• Family Nurse Practitioner in Mexico Beach, FL
• Providers in Mexico Beach, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; 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.