BOTTS DIABETES & ENDOCRINOLOGY
NPI 1477044717
Nurse Practitioner - Family in Lebanon, TN

Active since May 22, 2018CLIA 44D2164318 · Microscopy
1420 W BADDOUR PKWY STE 200, LEBANON, TN 37087(615) 444-4126 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 27, 2019, May 22, 2018 (2 updates tracked since 2018).

About Botts Diabetes & Endocrinology NPPES

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

BOTTS DIABETES & ENDOCRINOLOGY (NPI 1477044717) is a healthcare organization registered as a family in Lebanon, Tennessee and active in the NPI registry since May 2018. The organization holds a CLIA Microscopy certificate valid through April 1, 2027 and lists Dara W Botts, Owner, as its authorized official.

NPPES Registry Identity

NPI1477044717
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameBOTTS DIABETES & ENDOCRINOLOGY
Location Address1420 W BADDOUR PKWY STE 200Lebanon, TN 37087-1510
Mailing Address1420 W Baddour Pkwy Ste 200Lebanon, TN 37087-1510 · (615) 444-4126
Organization SubpartNo
Authorized OfficialDara W BottsOwner · (615) 444-4126
Enumeration DateMay 22, 2018
Last NPPES UpdateMarch 19, 20242 updates tracked since enumeration
NPPES CertifiedMarch 19, 2024
NPI 1477044717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1420 W BADDOUR PKWY STE 200, Lebanon, TN 37087

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 44D2164318

Botts Diabetes & Endocrinology · Lebanon, TN
Active · expires Apr 1, 2027
CLIA Number44D2164318
Laboratory TypePractitioner Other
Certificate Effective DateApril 2, 2025
Certificate Expiration DateApril 1, 2027
Laboratory DirectorDr. John Interlandi
Laboratory Phone(615) 444-4126
Laboratory LocationBotts Diabetes & Endocrinology1420 W Baddour Pkwy, Suite 200, Lebanon, TN 37087
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

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

Physician Assistant
1420 W BADDOUR PKWY STE 200
LEBANON, TN 37087
Nurse Practitioner (Family)
1420 W BADDOUR PKWY STE 200
LEBANON, TN 37087

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 Botts Diabetes & Endocrinology's NPI number?

The NPI number for Botts Diabetes & Endocrinology is 1477044717. It was assigned to this organization in the NPPES registry on May 22, 2018.

Where is Botts Diabetes & Endocrinology located?

Botts Diabetes & Endocrinology is located at 1420 W Baddour Pkwy Ste 200, Lebanon, TN 37087. The listed phone number is (615) 444-4126.

What is Botts Diabetes & Endocrinology's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Botts Diabetes & Endocrinology hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 44D2164318) is associated with this NPI, valid through April 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Botts Diabetes & Endocrinology was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.