Individual provider Active NPI

Judy A Bolten, RN

  • Occupational Health Registered Nurse
National Provider Identifier
1093742785
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health Registered NurseTaxonomy code 163WX0106X
License
520414 Issued in TX
Practice address
P'SC 827 Box 1000
Fpo, AE 09617
IT
Phone
390815686303
Fax
390815685976
NPI assigned
Jun 27, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health Registered Nurse 163WX0106X 520414 TX Primary

Addresses

Primary practice location

P'SC 827 Box 1000
Fpo, AE 09617
IT

Mailing address

PSC 817 Box 32
Fpo, AE 09622
IT
Phone 390815685973

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
520414TXMDOccupational Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Karen M. Gray PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1093742785",
    "addresses": [
        {
            "country_code": "IT",
            "country_name": "Italy",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "PSC 817 BOX 32",
            "city": "FPO",
            "state": "AE",
            "postal_code": "09622",
            "telephone_number": "390815685973",
            "fax_number": "081-568-5976"
        },
        {
            "country_code": "IT",
            "country_name": "Italy",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "P'SC 827 BOX 1000",
            "city": "FPO",
            "state": "AE",
            "postal_code": "09617",
            "telephone_number": "390815686303",
            "fax_number": "390815685976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTEN",
        "first_name": "JUDY",
        "middle_name": "A",
        "name_prefix": "Prof.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0106X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Occupational Health",
            "state": "TX",
            "license": "520414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.