Linda Bolton-Groh, MSN, APRN, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1029578 Issued in TX

Practice address

205 Woodhew Dr Ste 110
Woodway, TX 76712-6655

Phone

(254) 399-9291

NPI assigned

Feb 9, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

Locations

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.

• Central Texas Neurological Association

  • Neurology Physician
  • Waco, TX
  • NPI 1265516207
  NPD

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1215529474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 WOODHEW DR STE 110",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126655",
            "telephone_number": "254-399-9291",
            "fax_number": "254-399-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 WOODHEW DR STE 110",
            "city": "WOODWAY",
            "state": "TX",
            "postal_code": "767126655",
            "telephone_number": "254-399-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTON-GROH",
        "first_name": "LINDA",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1029578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blasick Orthopedics, PLLC
• Jeffrey S Blasick, D.O.
• Scott Elliott Blattman, M.D.
• Todd Eric Blattman, MD
• Blomstra Therapy Services LLC
• Stephanie Bonilla
• Michele Bostick, M.ED., LPC
• Boyd HCS, PLLC
• Boyd House Calls
• Deanna Bracciale

• Nurse Practitioner in Woodway, TX
• Providers in Woodway, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.