Botts Diabetes & Endocrinology

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

BOTTS DIABETES & ENDOCRINOLOGY

Practice address

1420 W Baddour Pkwy Ste 200
Lebanon, TN 37087-1510

Phone

(615) 444-4126

NPI assigned

May 22, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Dara W Botts, NPNPI 1982826004

Title

Owner

Phone

(615) 444-4126

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dara W Botts, FNP

  • Family Nurse Practitioner
  • Lebanon, TN
  • NPI 1982826004

  TN

  Medicare reassignment Care Compare group Authorized official
• John W Interlandi, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Hermitage, TN
  • NPI 1992790174

  TN

  Medicare reassignment Care Compare group
• Sarah Michelle Rudder, PA-C

  • Physician Assistant
  • Lebanon, TN
  • NPI 1669042230

  TN

  Medicare reassignment Care Compare group
• Raina Kelly Tomlinson, FNP-BC

  • Nurse Practitioner
  • Smyrna, TN
  • NPI 1932627882

  Family

  NPD (past)

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1477044717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 W BADDOUR PKWY STE 200",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370871510",
            "telephone_number": "615-444-4126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 W BADDOUR PKWY STE 200",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370871510",
            "telephone_number": "615-444-4126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOTTS DIABETES & ENDOCRINOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-22",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "BOTTS",
        "authorized_official_first_name": "DARA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-444-4126",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Marie Bogle, DPT
• Nick Boles
• Heather Diana Bolton, PA
• Carolyn Lee Bond, NP-C
• Tyler Bott, DPT
• Dara W Botts, FNP
• John R Boucher, P.T.
• F Kirk Bowles, MD
• Bradshaw Health, PLLC
• Bradshaw Medical Clinic, PC

• All providers in Lebanon, TN
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.