Benjamin N Botchway, APRN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

337207-4405 Issued in UT

Practice address

1640 W 500 S
Salt Lake City, UT 84104-5202

Phone

(801) 886-0930

Fax

(801) 886-0956

NPI assigned

Jan 2, 2009

Sex

Male

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

Enrolled in UT

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• First Care Medical-Family Medicine, LLC

  • Family Medicine Physician
  • Salt Lake City, UT
  • NPI 1972327971
  NPD (past)

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

{
    "created_epoch": "1230854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1467698084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1798 N STALLION LN",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841161115",
            "telephone_number": "801-440-8233",
            "fax_number": "801-886-0956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 W 500 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841045202",
            "telephone_number": "801-886-0930",
            "fax_number": "801-886-0956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4070 S 4000 W",
            "address_purpose": "LOCATION",
            "city": "West Valley City",
            "state": "UT",
            "postal_code": "841204040",
            "country_code": "US",
            "telephone_number": "801-955-1644",
            "fax_number": "801-955-1750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOTCHWAY",
        "first_name": "BENJAMIN",
        "middle_name": "N",
        "name_prefix": "Mr.",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-02",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "337207-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randy Earl Bostwick
• Ra'Chelle Boswell-Collins
• Elayna Boswell
• Mashelle Boswell, LCSW
• Cory M. Bosworth, MD
• Jeffrey Robert Botkin, MD
• David B. Botros, MD
• Alicia Jean Bott, LCSW
• Ryan George Bott, D.D.S.
• Steven I. Bott

• Family Nurse Practitioner in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; 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.