Kevin Bradley Botelho, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

059205-23 Issued in NH

Practice address

16 Hospital Rd
Plymouth, NH 03264-1126

Phone

(603) 536-2239

Fax

(603) 536-5887

NPI assigned

Jul 31, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1861916967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HOSPITAL RD",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "032641126",
            "telephone_number": "603-536-2239",
            "fax_number": "603-536-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 HOSPITAL RD",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "032641126",
            "telephone_number": "603-536-2239",
            "fax_number": "603-536-5887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTELHO",
        "first_name": "KEVIN",
        "middle_name": "BRADLEY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "059205-23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "059205-23",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheldon Ryan Billings
• Steven Arnold Birkitt, DDS
• Bluebird Wellness PA
• Regina Bosinger, PHD APRN
• Jameson Stuart Boswell, PA
• Patrick Bowers, D.O.
• Brand & Sawicki, D.D.S.
• Paul R Brand, DDS
• Sean Breidenthal, MSW, LICSW
• Ralph Patrick Broadwater, M.D.

• Family Nurse Practitioner in Plymouth, NH
• Providers in Plymouth, NH by specialty
• Family Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.