Individual provider Active NPI

Alesha Bolton, FNP

  • Nurse Practitioner
  • Sweetwater, TX
National Provider Identifier
1013380450
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP129540 Issued in TX
Practice address
201 E Arizona Ave
Sweetwater, TX 79556-7119
Phone
(325) 235-8641
Fax
(325) 235-5995
NPI assigned
Nov 6, 2015
Last updated
Feb 20, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP129540 TX Primary

Addresses

Primary practice location

201 E Arizona Ave
Sweetwater, TX 79556-7119

Mailing address

201 E Arizona Ave
Sweetwater, TX 79556-7119
Phone (325) 658-1511

Other identifiers 1

IdentifierTypeStateIssuer
751131OtherTXLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160119001083 TX Practitioner - Nurse Practitioner 4789987173 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP129540TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rolling Plains Memorial Hospital CurrentSince Jan 17, 2017 Accepting new patients
Rolling Plains Memorial Hospital CurrentSince Jan 17, 2017 Accepting new patients
Rolling Plains Memorial Hospital Past Accepting new patients

Locations

201 E Arizona Ave
Sweetwater, TX 79556
Phone (325) 235-1701

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/rolling-5861da2b

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1013380450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E ARIZONA AVE",
            "city": "SWEETWATER",
            "state": "TX",
            "postal_code": "795567119",
            "telephone_number": "325-658-1511",
            "fax_number": "325-481-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E ARIZONA AVE",
            "city": "SWEETWATER",
            "state": "TX",
            "postal_code": "795567119",
            "telephone_number": "325-235-8641",
            "fax_number": "325-235-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTON",
        "first_name": "ALESHA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-06",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP129540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "751131",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sweetwater, TX

Sources for this page

Verify at the official NPI Registry.