TARA BOTTER RN
NPI 1467907279
Registered Nurse in Ronkonkoma, NY

Active since August 22, 2016
75 PARK AVE, RONKONKOMA, NY 11779(631) 605-5522 Get Directions Write a Review

NPPES record last updated: August 22, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tara Botter Rn NPPES

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

TARA BOTTER RN (NPI 1467907279) is an individual registered nurse in Ronkonkoma, New York, licensed in New York (554993) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1467907279
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameTARA BOTTERCredential: RN
Location Address75 PARK AVERonkonkoma, NY 11779-1727
Mailing Address75 Park AveRonkonkoma, NY 11779-1727 · (631) 605-5522
Sole ProprietorYes
Enumeration DateAugust 22, 2016
NPI 1467907279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License Licensed in NY · 554993
Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

75 PARK AVE, Ronkonkoma, NY 11779

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467907279, enumerated as an "individual" on August 22, 2016.

The provider is located at 75 PARK AVE RONKONKOMA, NY 11779 and the phone number is (631) 605-5522.

Registered Nurse with taxonomy code 163W00000X.