Sheree Bolano

Primary specialty

Intermediate Emergency Medical TechnicianTaxonomy code 146M00000X

License

EMT525827 Issued in FL

Practice address

16452 Champlain St
Clermont, FL 34714-6602

Phone

(321) 443-7844

NPI assigned

Apr 14, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Hope & Life Medical Staffing LLC

  • Nursing Care Agency
  • Haines City, FL
  • NPI 1891438271
  NPD Authorized official

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1013650464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16452 CHAMPLAIN ST",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347146602",
            "telephone_number": "321-443-7844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16452 CHAMPLAIN ST",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347146602",
            "telephone_number": "321-443-7844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLANO",
        "first_name": "SHEREE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-14",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medical Technician, Intermediate",
            "state": "FL",
            "license": "EMT525827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7863673267",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hopelifemedical@yahoo.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "16452 Champlain St",
            "city": "Clermont",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347146602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jason Andrew Boardman, M.D
• Chelsey Boehm
• Mary Rose Boehm, MD
• James Michael Bogan, LCSW
• Daniel Lee Bogus, DDS
• Alexander Javier Bolanos, M.D.
• Catie L Bolin
• Matthew Paul Bommarito, DO
• Michael Jay Bond, MD
• Yolanda Bonefant, SLP-A

• Intermediate Emergency Medical Technician in Clermont, FL
• Providers in Clermont, FL by specialty
• Intermediate Emergency Medical Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.