Individual provider Active NPI

Jeri Ann Bolton, AS,RRT,NPS,CPFT

  • Registered Respiratory Therapist
  • Paris, TX
National Provider Identifier
1063928232
Registry record updated Dec 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
License
56319 Issued in TX
Practice address
365 31St St SW
Paris, TX 75460-5393
Phone
(903) 449-9665
NPI assigned
Dec 23, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 227900000X 56319 TX Primary

Addresses

Primary practice location

365 31St St SW
Paris, TX 75460-5393

Mailing address

365 31St St SW
Paris, TX 75460-5393
Phone (903) 449-9665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Associate of Science

State licenses

LicenseStateTypeSpecialty
56319TXMDRegistered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1513987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513987200000",
    "number": "1063928232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 31ST ST SW",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754605393",
            "telephone_number": "903-449-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 31ST ST SW",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754605393",
            "telephone_number": "903-449-9665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTON",
        "first_name": "JERI",
        "middle_name": "ANN",
        "credential": "AS,RRT,NPS,CPFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-23",
        "last_updated": "2017-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Registered",
            "state": "TX",
            "license": "56319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2017; 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.