Individual provider Active NPI

Jennifer S. Botham, N.D.

  • Naturopath
  • Denver, CO
National Provider Identifier
1972894814
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
0000119 Issued in CO
Practice address
240 S Broadway Ste 205
Denver, CO 80209
Phone
(480) 207-0427
NPI assigned
Apr 26, 2011
Last updated
Jul 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 0000119 CO Primary
Naturopath 175F00000X 11-1243 AZ

Addresses

Primary practice location

240 S Broadway Ste 205
Denver, CO 80209

Mailing address

240 S Broadway Ste 205
Denver, CO 80209-1547
Phone (480) 207-0427

Other practice location 1

2111 E Broadway Rd Ste 7
Tempe, AZ 85282-1736
Phone (480) 252-4683

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
11-1243AZMDNaturopath
0000119COMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1972894814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 S BROADWAY STE 205",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802091547",
            "telephone_number": "480-207-0427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 S BROADWAY STE 205",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80209",
            "telephone_number": "480-207-0427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2111 E Broadway Rd Ste 7",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852821736",
            "country_code": "US",
            "telephone_number": "480-252-4683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOTHAM",
        "first_name": "JENNIFER",
        "middle_name": "S.",
        "credential": "N.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-26",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CO",
            "license": "0000119",
            "primary": true
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "11-1243",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.