Active NPIIndividual provider

Jacqueline M Botala

Case Manager/Care Coordinator in Middlebury, Vermont

NPI Number1477395416
Practice location
89 Main St, Middlebury, VT 05753-1483
Fax
802-388-3108
Last updated
June 11, 2024

Jacqueline M Botala is a Case Manager/Care Coordinator based in Middlebury, VT. Jacqueline M Botala practices in Middlebury, VT. The NPI Number for Jacqueline M Botala is 1477395416. The current practice location address for Jacqueline M Botala is 89 Main St, Middlebury, VT 05753-1483 and can be reached out via phone at 802-388-6751 and via fax at 802-388-3108.

Provider Profile Details

NPI Number
1477395416
Provider Name
Jacqueline M Botala
Provider Entity Type
Individual
Gender
Female
Address
89 Main St, Middlebury, VT 05753-1483
Phone Number
802-388-6751
Fax Number
802-388-3108
Primary Taxonomy
Case Manager/Care Coordinator · 171M00000X
Sole Proprietor
No
Provider Enumeration Date
June 11, 2024
Last Update Date
June 11, 2024
Certification Date
June 11, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
89 Main St
Middlebury, VT 05753-1483
State
Vermont
Zip
05753-1483
Phone Number
802-388-6751
Fax Number
802-388-3108
Middlebury, VT 05753Get directions →

Provider Business Mailing Address Details

Address
89 Main St
Middlebury, VT 05753-1483
City
Middlebury
State
VT
Zip
05753-1483
Phone Number
802-388-6751
Fax Number
802-388-8183

License Information

Taxonomy
Case Manager/Care Coordinator · 171M00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jacqueline M Botala?

The NPI number of Jacqueline M Botala is 1477395416. It was assigned on June 11, 2024 and is currently active in the NPPES registry.

What is the specialty of Jacqueline M Botala?

Jacqueline M Botala is registered under the primary taxonomy Case Manager/Care Coordinator (code 171M00000X).

Where does Jacqueline M Botala practice?

The practice location is 89 Main St, Middlebury, VT 05753-1483. The office can be reached at 802-388-6751 (phone) or 802-388-3108 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1477395416 directly on the NPPES registry website.

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