Tressa A Bolton, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1-121802 Issued in AL

Practice address

1758 Park PL Ste 300
Montgomery, AL 36106-1137

Phone

(334) 293-8922

Fax

(334) 293-6820

NPI assigned

Jun 19, 2017

Last updated

Feb 26, 2020By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tressa.bolton@wim.direct.medconnecthealth.com

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.

• Jackson Hospital and Clinic, Inc.

  • Emergency Medicine Physician
  • Montgomery, AL
  • NPI 1073264107

  Nurse Practitioner

  Medicare reassignment NPD
• Marion Regional Health - Winfield, Inc.

  dba South Marion Behavioral Health Clinic

  • Neurology Physician
  • Winfield, AL
  • NPI 1306634191
  Medicare reassignment
• Jackson Hospital & Clinic, Inc.

  dba Jackson Pelvic Floor Therapy

  • Physical Therapist
  • Montgomery, AL
  • NPI 1265325823
  NPD
• Jackson Hospital and Clinic Inc

  dba Jackson Vascular Surgery Greenville

  • Vascular Surgery Physician
  • Greenville, AL
  • NPI 1740657683
  NPD
• Marion Regional Health - Winfield, Inc.

  dba Winfield Internal Medicine South Marion

  • Internal Medicine Physician
  • Winfield, AL
  • NPI 1154283588
  NPD
• Marion Regional Health - Winfield, Inc.

  dba South Marion CRNA

  • Anesthesiology Physician
  • Winfield, AL
  • NPI 1609736677
  NPD
• Winfield Internal Medicine, PC

  • Internal Medicine Physician
  • Winfield, AL
  • NPI 1861667073
  NPD (past)

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1306376694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 PINE ST STE 503",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061160",
            "telephone_number": "334-240-2337",
            "fax_number": "334-293-8738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1758 PARK PL STE 300",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061137",
            "telephone_number": "334-293-8922",
            "fax_number": "334-293-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTON",
        "first_name": "TRESSA",
        "middle_name": "A",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-121802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalyssa Boggs
• Vickie G Boggs, MD
• Sherry Annette Bohannan Jones, OTR/L, CLT
• Joel C Bolen, MD
• Erika Bolton, CRNP
• David Bond, LCSW
• Julie Anne Bond, CRNP
• Leanne M Bond, RPH
• Cynthia M Bonner, MD
• Johnny Lee Bonner, M.D.

• Nurse Practitioner in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.