Annie M Botchway, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP127588 Issued in TX

Practice address

1709 Precinct Line Rd
Hurst, TX 76054-3131

Phone

(817) 281-0402

Fax

(817) 281-6364

NPI assigned

Mar 27, 2015

Last updated

Jun 15, 2015By 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

Enrolled in TX

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• J. Michael Merrill, D.O., P.a.

  dba Hurst Family Medical

  • Family Medicine Physician
  • Hurst, TX
  • NPI 1386738540
  NPD
• Lifevantage House Calls PLLC

  • General Practice Physician
  • Fort Worth, TX
  • NPI 1679963771
  NPD (past)

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434326400000",
    "number": "1659765592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 PRECINCT LINE RD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543131",
            "telephone_number": "817-281-0402",
            "fax_number": "817-281-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 PRECINCT LINE RD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543131",
            "telephone_number": "817-281-0402",
            "fax_number": "817-281-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTCHWAY",
        "first_name": "ANNIE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-27",
        "last_updated": "2015-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP127588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dianne R Bippert, LCSW S
• Bishop Healthcare, LLC (Bishop Davies Nursing Center LLC)
• Mary Ann Block, D.O.
• Blookshire PLLC (Brookshire Dental)
• Anna Bonomi Gay, LCSW
• Lindsi Boulette Bourgeois, M.S., CCC-SLP
• Bowman TC LLC (Texas Care Fort Worth)
• George William Boyd IV, LCSW
• Arwen Boyer-Earll
• Thomas L Boyle, PHD

• Family Nurse Practitioner in Hurst, TX
• Providers in Hurst, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.