Colleen Botos

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

4704311007 Issued in MI

Practice address

5671 N Skeel Ave Ste 6
Oscoda, MI 48750-1535

Phone

(989) 747-3036

Fax

(989) 747-3037

NPI assigned

Aug 16, 2018

Last updated

Aug 16, 2018By 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

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": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1508346800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 KUNZE RD",
            "city": "EAST TAWAS",
            "state": "MI",
            "postal_code": "487309597",
            "telephone_number": "989-820-2881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5671 N SKEEL AVE STE 6",
            "city": "OSCODA",
            "state": "MI",
            "postal_code": "487501535",
            "telephone_number": "989-747-3036",
            "fax_number": "989-747-3037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1199 Harris Ave",
            "address_purpose": "LOCATION",
            "city": "Tawas City",
            "state": "MI",
            "postal_code": "487639681",
            "country_code": "US",
            "telephone_number": "989-362-8636 x2509",
            "fax_number": "989-362-7800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOTOS",
        "first_name": "COLLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704311007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaleb M Barnes
• Andrew Beardsley
• Lydia Beardsley, CHW
• Gwendolyn Dianne Becker
• Travis Boik
• Virginia May Lynn Braden, LPC, CAADC
• Sarah E Bray, PARAMEDIC
• Joshua Dale Brewer
• Jean Bridgman
• Abigail Mae Brock, LLMSW

• Psychiatric/Mental Health Registered Nurse in Oscoda, MI
• Providers in Oscoda, MI by specialty
• Psychiatric/Mental Health Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.