Jose M. Botello , LPN
Licensed Practical Nurse • Jefferson, WI
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jose Botello has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Jose Botello, LPN was a registered Licensed Practical Nurse practicing in Jefferson, WI. Throughout an active medical career spanning 16 years, Jose Botello provided care at the practice location at 128 DEER CREEK CT until profile deactivation on 2025-09-25.
Practice Location & Contact Primary Location
128 Deer Creek Ct
Apt. 5
Jefferson, WI 535491188
Specialty Benchmarks & Practice Insights
Comparative analytics for Licensed Practical Nurse in Jefferson, WI
Practicing in Jefferson, WI (1775 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 164W00000X
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on September 25, 2025
NPI status registered as active in NPPES database
Registered at 128 DEER CREEK CT, APT. 5, JEFFERSON, WI 535491188 (Tel: 9203970152)
Registered at 128 DEER CREEK CT, APT. 5, JEFFERSON, WI 535491188 (Tel: 9203970152)
Recorded as JOSE BOTELLO, L.P.N.
Licensed Practical Nurse (License #306116-031 in WI)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
Verified patient ratings, medical care experiences, and facility photos
Sign in to leave a review for Jose Botello
Only verified registered users can submit ratings, post feedback, and upload facility photos.
NPI Administrative Meta
Mailing Address
128 Deer Creek Ct, Apt. 5
Jefferson, WI 535491188
Phone: 9203970152
This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.