Christine Bollom, DNP, APRN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP144771 Issued in TX

Practice address

1032 S WW White Rd
San Antonio, TX 78220-2531

Phone

(210) 407-3033

NPI assigned

Jan 30, 2020

Last updated

Apr 15, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

San Antonio Premier Internal Medicine, PLLCGroup PAC ID 6608935366, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• San Antonio Premier Internal Medicine, PLLC

  dba SA Premier IM

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1891958542
  Medicare reassignment Care Compare group
• Lisa a. Davis, M.D., P.a.

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1053505875
  NPD (past)

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1295366045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 S WW WHITE RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782202531",
            "telephone_number": "210-407-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 S WW WHITE RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782202531",
            "telephone_number": "210-407-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLOM",
        "first_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-30",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "770360",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP144771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlee C Boles, DDS
• Brandon L Bolfing, MD
• Sharon Jude Bolin, LCSW
• Leocarina Bolivar
• Jean Boller, M.S.,CCC-A
• Teresa Suzanne Bolser
• Ashley Patricia Bolton
• Dawson Gregory Bolus, MD
• Everett Arthur Bolz, M.D.
• Gary Richard Bolz, PSYD

• Family Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.