COURTNEY RAE BOTELHO NPI 1235771197

Student in an Organized Health Care Education/Training Program in Las Vegas, NV

Individual Female Student in an Organized Health Care Educ...

About COURTNEY BOTELHO

Courtney Botelho is a provider established in Las Vegas, Nevada and her medical specialization is student in an organized health care education/training program. The NPI number of Courtney Botelho is 1235771197 and was assigned on October 2019. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and her NPI record was last updated October 2019.

NPI

1235771197

Provider Name COURTNEY RAE BOTELHO
Provider Location Address888 S RANCHO DR LAS VEGAS, NV 89106
Provider Mailing AddressPO BOX 35380 LAS VEGAS, NV 89133
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date10-11-2019
Last Update Date10-11-2019

Primary Taxonomy

Taxonomy Code390200000X
ClassificationStudent in an Organized Health Care Education/Training Program
TypeStudent, Health Care
Taxonomy DescriptionAn individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Business Address

COURTNEY RAE BOTELHO
888 S RANCHO DR
LAS VEGAS, NV
ZIP 89106
Phone: (702) 877-5199

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Mailing Address

COURTNEY RAE BOTELHO
PO BOX 35380
LAS VEGAS, NV
ZIP 89133
Phone: (702) 579-3203

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023010576 RAYMOND MATHIESON PA-C
Individual
Physician Assistant888 S RANCHO DR
LAS VEGAS, NV 89106
(702) 877-8600
1104811470DR. HOLLIS M JULSON M.D.
Individual
Family Medicine888 S RANCHO DR
LAS VEGAS, NV 89106
(702) 877-8600
1124227244 GRACEANN A FREEMAN
Individual
Nurse Practitioner (Family)888 S RANCHO DR
LAS VEGAS, NV 89106
(702) 877-5152
1194041665 YASMIN SIDDIQUI D.O.
Individual
Internal Medicine (Cardiovascular Disease)888 S RANCHO DR
LAS VEGAS, NV 89106
(702) 877-8654
1275554057 ELLIOT SHIN MD
Individual
Family Medicine888 S RANCHO DR
LAS VEGAS, NV 89106
(702) 243-8500
1417927500 SVETLANA BARBARASH MD
Individual
Internal Medicine (Cardiovascular Disease)888 S RANCHO DR
LAS VEGAS, NV 89106
(702) 877-8654
1447358627DR. ALEX VAISMAN DO
Individual
Emergency Medicine888 S RANCHO DR
LAS VEGAS, NV 89106
(718) 206-6000
1467595462MRS. MARTHA JULIA CISNEROS NP
Individual
Nurse Practitioner (Obstetrics & Gynecology)888 S RANCHO DR
LAS VEGAS, NV 89106
(702) 877-8690
1497757181 TODD A RADIVAN PA-C
Individual
Physician Assistant (Medical)888 S RANCHO DR
LAS VEGAS, NV 89106
(702) 877-8600
1598862914DR. KIRK YAMATO MD
Individual
Family Medicine888 S RANCHO DR
LAS VEGAS, NV 89106
(530) 885-0344
1609846518 MARGUERITE BRATHWAITE MD
Individual
Obstetrics & Gynecology888 S RANCHO DR
LAS VEGAS, NV 89106
(702) 877-8600
1629021795DR. CHARLES H WEINTZ DO
Individual
Family Medicine888 S RANCHO DR
LAS VEGAS, NV 89106
(702) 877-8600
1770563835 PAULA JORDAN APRN
Individual
Nurse Practitioner888 S RANCHO DR
LAS VEGAS, NV 89106
(702) 877-8690
1780667709 JONATHAN LI M.D.
Individual
Internal Medicine (Cardiovascular Disease)888 S RANCHO DR
LAS VEGAS, NV 89106
(702) 877-8654
1801078654MR. BRIAN WILLIAM STARK JR. PA-C
Individual
Physician Assistant888 S RANCHO DR
LAS VEGAS, NV 89106
(702) 877-8600
1871699447 JOHN KVIST PA-C
Individual
Physician Assistant (Medical)888 S RANCHO DR
LAS VEGAS, NV 89106
(702) 877-5108
1881720225 DAVID GHADISHA MD
Individual
Obstetrics & Gynecology888 S RANCHO DR
LAS VEGAS, NV 89106
(702) 877-8690
1902283252 JOYCE M COLEMAN APRN
Individual
Nurse Practitioner (Women's Health)888 S RANCHO DR
LAS VEGAS, NV 89106
(702) 877-5152
1912164179MR. ROBERT ESTRELLER APN
Individual
Nurse Practitioner888 S RANCHO DR
LAS VEGAS, NV 89106
(702) 877-8600
1932579711 TERESA PRAUS APRN
Individual
Nurse Practitioner (Family)888 S RANCHO DR
LAS VEGAS, NV 89106
(702) 877-8600

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

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