Murryelle Bothwell, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN051269 Issued in AZ

Practice address

25 El Camino Real
Suite 4
Sierra Vista, AZ 85635-2800

Phone

(520) 417-0996

Fax

(520) 417-2042

NPI assigned

Jul 13, 2006

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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

• San Pedro Health

  • Community/Behavioral Health Agency
  • Sierra Vista, AZ
  • NPI 1841636776
  NPD (past)
• San Pedro Health PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sierra Vista, AZ
  • NPI 1245501188
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780609461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 TIFFANY PL",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856354129",
            "telephone_number": "520-459-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 EL CAMINO REAL",
            "address_2": "SUITE 4",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352800",
            "telephone_number": "520-417-0996",
            "fax_number": "520-417-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTHWELL",
        "first_name": "MURRYELLE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "RN051269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Thomas Boothby
• R L Borgstadt, DC
• Athena Leah Borhauer, PHARMD
• Mohamad Ali Borji
• Angela M Bostic, CRNA
• Janet Mae Boudrot, CCC-SLP
• Janet Boursier, RN, CHT
• Bianca Shanell Bowles, FNP-C
• Kendra Bowles, CNM
• Jennifer Marie Bowman, MSW

• Psychiatric/Mental Health Nurse Practitioner in Sierra Vista, AZ
• Providers in Sierra Vista, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.