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

NPI Status: Active since May 22, 2018

Contact Information

1420 W BADDOUR PKWY STE 200
LEBANON, TN
ZIP 37087
Phone: (615) 444-4126

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  • Organization
  • Nurse Practitioner
  • Family
  • CLIA Number: 44D2164318
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 04-01-2027

About BOTTS DIABETES & ENDOCRINOLOGY

This page provides the complete NPI Profile along with additional information for Botts Diabetes & Endocrinology, a provider established in Lebanon, Tennessee operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1477044717 assigned on May 2018. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Botts Diabetes & Endocrinology operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Ms. Dara W Botts Np (Owner)

NPI
1477044717
Provider Name
BOTTS DIABETES & ENDOCRINOLOGY
Entity Type
Organization
Location Address
1420 W BADDOUR PKWY STE 200 LEBANON, TN 37087
Location Phone
(615) 444-4126
Mailing Address
1420 W BADDOUR PKWY STE 200 LEBANON, TN 37087
Mailing Phone
(615) 444-4126
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-22-2018
Last Update Date
03-19-2024
Code Navigator

A nurse practitioner (NP) like Botts Diabetes & Endocrinology is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. DARA W BOTTS NP

Authorized Official Title
OWNER
Authorized Official Phone
(615) 444-4126

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
44D2164318
Facility Type
Practitioner Other
Certificate Effective Date
April 02, 2025
Certificate Expiration Date
April 01, 2027
Laboratory Director
DR. JOHN INTERLANDI
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Botts Diabetes & Endocrinology in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1477044717, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
7
Unchanged
Pos 5
0
Doubled → 0
Pos 6
4
Unchanged
Pos 7
4
Doubled → 8
Pos 8
7
Unchanged
Pos 9
1
Doubled → 2
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 0 → 0 4 → 8 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 4 + 7 + 0 + 4 + 8 + 7 + 2 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1477044717.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477044717, enumerated as an "organization" on May 22, 2018.

The provider is located at 1420 W BADDOUR PKWY STE 200 LEBANON, TN 37087 and the phone number is (615) 444-4126.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.