Alice D. Bollinger, RN

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

N17580 Issued in ID

Practice address

444 Hospital Way
Pocatello, ID 83201-2745

Phone

(208) 232-6214

Fax

(208) 233-3416

NPI assigned

Jun 7, 2012

Last updated

Jun 7, 2012By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339027200000",
    "number": "1275894065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4939 JOY ST",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832022505",
            "telephone_number": "208-232-6214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 HOSPITAL WAY",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012745",
            "telephone_number": "208-232-6214",
            "fax_number": "208-233-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLINGER",
        "first_name": "ALICE",
        "middle_name": "D.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-07",
        "last_updated": "2012-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "ID",
            "license": "N17580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Body & Soul Therapy LLC
• Roger W. Boe, M.D.
• Andrew William Bohnsack, DDS
• Jean M Bokelmann, MD
• Patricia Marion Bolinger, LPC, NCC, NCSC
• Alina Bonci
• Ethan D Bonham
• Jay Leslie Borgholthaus, OD
• Lana Borgholthaus, PA
• Theresa Borowiecki

• Primary Care Clinic/Center in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Primary Care Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; 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.