Individual provider Active NPI

Diana M. Lefrancois Bothelo, DAOM

  • Acupuncturist
  • Tiverton, RI
National Provider Identifier
1699910992
Registry record updated Oct 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
DA00256 Issued in RI
Practice address
136 Maple Dr
Tiverton, RI 02878-7800
Phone
(401) 624-7379
NPI assigned
Dec 16, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X DA00256 RI Primary

Addresses

Primary practice location

136 Maple Dr
Tiverton, RI 02878-7800

Mailing address

136 Maple Dr
Tiverton, RI 02878-7800
Phone (401) 624-7379

Other identifiers 1

IdentifierTypeStateIssuer
101565900OtherUS DEPT OF LABOR PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DA00256RIMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1229385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506902400000",
    "number": "1699910992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 MAPLE DR",
            "city": "TIVERTON",
            "state": "RI",
            "postal_code": "028787800",
            "telephone_number": "401-624-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 MAPLE DR",
            "city": "TIVERTON",
            "state": "RI",
            "postal_code": "028787800",
            "telephone_number": "401-624-7379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFRANCOIS BOTHELO",
        "first_name": "DIANA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "DAOM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-16",
        "last_updated": "2017-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "RI",
            "license": "DA00256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR PROVIDER NUMBER",
            "identifier": "101565900",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tiverton, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2017; 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.