Christina Paula Botelho, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN00593 Issued in RI

Practice address

6 Blackstone Valley PL
Suite 701
Lincoln, RI 02865-1179

Phone

(401) 333-3111

Fax

(401) 334-1217

NPI assigned

Aug 2, 2013

Last updated

Jan 19, 2020By 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 2

Addresses

Other names 1

• Christina Paula Dacosta Former name

Medicare fee-for-service enrollment

Enrolled in RI

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hopehealth Hospice and Palliative CareGroup PAC ID 4587659255, 46 clinicians

Practice addresses (Care Compare)

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.

• Hopehealth Hospice & Palliative Care

  • Case Management Agency
  • Providence, RI
  • NPI 1790851590
  Medicare reassignment Care Compare group NPD
• Hopehealth Hospice & Palliative Care

  • General Practice Physician
  • Brockton, MA
  • NPI 1720405988
  NPD

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579392000000",
    "number": "1699107565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DAVOL SQ",
            "address_2": "SUITE 400",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034754",
            "telephone_number": "401-421-4000",
            "fax_number": "401-272-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BLACKSTONE VALLEY PL",
            "address_2": "SUITE 701",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651179",
            "telephone_number": "401-333-3111",
            "fax_number": "401-334-1217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1085 N Main St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029045719",
            "country_code": "US",
            "telephone_number": "401-415-4618",
            "fax_number": "401-415-4348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOTELHO",
        "first_name": "CHRISTINA",
        "middle_name": "PAULA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-02",
        "last_updated": "2020-01-19",
        "certification_date": "2020-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "RI",
            "license": "APRN00593",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN00593",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "DACOSTA",
            "middle_name": "PAULA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Adelle Blackwell
• Michelle O Bland, PA-C
• Marc M. Bochner, D.P.T.
• Lauren Bolster, LICSW
• Joseph Bolte
• Maria Consuelo Botelho, FNP-BC
• Ivelisse Bou
• Alexis Bouchard
• Jessie L Bouchard, MSN, APRN, FNP-C
• Daniel Boulanger, ATC, CES, PES

• Nurse Practitioner in Lincoln, RI
• Providers in Lincoln, RI by specialty
• Nurse Practitioner in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.
• 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.