TAMRA LEI BOTELER
NPI 1194075762
Dietitian, Registered - Nutrition, Pediatric in Midlothian, TX

Active since September 11, 2012
4440 E HIGHWAY 287, MIDLOTHIAN, TX 76065(972) 723-5590 Get Directions Write a Review

NPPES record last updated: April 7, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tamra Lei Boteler NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAMRA LEI BOTELER (NPI 1194075762) is an individual nutrition, pediatric provider in Midlothian, Texas, licensed in Texas (DT81661) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1194075762
Entity TypeIndividualFemale
Primary Taxonomy133VN1004X
Provider Legal NameTAMRA LEI BOTELER
Location Address4440 E HIGHWAY 287Midlothian, TX 76065-5576
Mailing Address4440 E Highway 287Midlothian, TX 76065-5576 · (972) 723-5590
Sole ProprietorNo
Enumeration DateSeptember 11, 2012
Last NPPES UpdateApril 7, 2014
NPI 1194075762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDietitian, Registered · Nutrition, PediatricDietary & Nutritional Service Providers
Taxonomy Code133VN1004X
License Licensed in TX · DT81661
Definition
An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.
Also ListedNutritionist · Nutrition, EducationTaxonomy 133NN1002X
4440 E HIGHWAY 287, Midlothian, TX 76065

Other Identifiers 4

Medicaid207164901TX
Medicaid149984001TX
Medicare PIN676535TX
Medicare PIN456606TX

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
4440 E HIGHWAY 287
MIDLOTHIAN, TX 76065
Internal Medicine
4440 E HIGHWAY 287
MIDLOTHIAN, TX 76065
Nurse Practitioner (Family)
4440 E HIGHWAY 287
MIDLOTHIAN, TX 76065
Family Medicine
4440 E HIGHWAY 287
MIDLOTHIAN, TX 76065
Internal Medicine
4440 E HIGHWAY 287
MIDLOTHIAN, TX 76065
Family Medicine
4440 E HIGHWAY 287
MIDLOTHIAN, TX 76065
Physician Assistant (Medical)
4440 E HIGHWAY 287
MIDLOTHIAN, TX 76065

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tamra Boteler's NPI number?

The NPI number for Tamra Boteler is 1194075762. It was assigned to this individual provider in the NPPES registry on September 11, 2012.

Where is Tamra Boteler located?

Tamra Boteler practices at 4440 E Highway 287, Midlothian, TX 76065. The listed phone number is (972) 723-5590.

What is Tamra Boteler's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Pediatric, with taxonomy code 133VN1004X.

When was this NPI record last updated?

The NPPES record for Tamra Boteler was last updated on April 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.