Rhonda Bottke, ARNP

Key facts

NPI

1699060004

Entity type

Individual (NPI type 1)

Primary specialty

Pediatric Nurse Practitioner 363LP0200X

License

C-060165 (IA)

Practice address

1407 Independence Ave
5TH Floor
Waterloo, IA 50703-4300

Phone

(319) 291-2413

Fax

(319) 291-2659

NPI assigned

Jun 14, 2011

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 14, 2011.

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308009600000",
    "number": "1699060004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 INDEPENDENCE AVE",
            "address_2": "5TH FLOOR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507034300",
            "telephone_number": "319-291-2413",
            "fax_number": "319-291-2659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 INDEPENDENCE AVE",
            "address_2": "5TH FLOOR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507034300",
            "telephone_number": "319-291-2413",
            "fax_number": "319-291-2659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTKE",
        "first_name": "RHONDA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-14",
        "last_updated": "2011-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IA",
            "license": "C-060165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Amy Bork, MS, RD, CD
• Kimberlee Kay Borneman, C.N.M.
• Kelsey Bothwell
• Cara Beth Boubin, CADC
• Brian Lee Bouck, DDS
• Mary Kathryn Bowen, M.D.
• Kathi K Bower, ARNP
• Dieter J Boxmann, ARNP

All providers in Waterloo, IA · Pediatric Nurse Practitioner in Iowa