Leticia Vanessa Boten

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

R155255A Issued in NV

Practice address

904 W 7TH St Ste 305
Reno, NV 89503-2737

Phone

(775) 685-3301

Fax

(775) 384-3705

NPI assigned

May 17, 2022

Sex

Female

Sole proprietor

Yes

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": "1652745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1780321125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 W 7TH ST STE 305",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895032737",
            "telephone_number": "775-685-3301",
            "fax_number": "775-384-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 W 7TH ST STE 305",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895032737",
            "telephone_number": "775-685-3301",
            "fax_number": "775-384-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTEN",
        "first_name": "LETICIA",
        "middle_name": "VANESSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": "NV",
            "license": "R155255A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brock Boscovich, MD
• Jennifer Boscovich, APH, RN
• Tara Boswell
• Misty Botelho
• Adriana Botello, L.C.S.W.
• Melissa Bott
• Katherine Anne Bottles
• Grace Elizabeth Bottoms
• Gabriel Farid Bou Merhi, MD
• Antoine A Boudoumit, M.D.

• Home Health Aide in Reno, NV
• Providers in Reno, NV by specialty
• Home Health Aide in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.