Active NPI
Anna De Bolt, P.A.
- Physician Assistant
- Denver, CO
National Provider Identifier
1306779590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- TPPA1135
- Practice address
- 82 Uinta Way Apt 301
Denver, CO 80230-7329 - Phone
- (808) 256-7950
- NPI assigned
- Jun 5, 2026
- Last updated
- Jun 5, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2755-P.A. | PR | |
| Physician Assistant | 363A00000X | TPPA1135 | FL | Primary |
| Medical Physician Assistant | 363AM0700X | 2755-P.A. | PR | |
| Surgical Physician Assistant | 363AS0400X | 2755-P.A. | PR | |
| Surgical Assistant | 246ZC0007X | 24-537 | TX | |
| Surgical Assistant | 246ZC0007X | S.A.0003415 | CO |
Addresses
Primary practice location
82 Uinta Way Apt 301
Denver, CO 80230-7329
Mailing address
82 Uinta Way Apt 301
Denver, CO 80230-7329
Phone (808) 256-7950
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.A.0003415 | CO | MD | Surgical Assistant |
| 24-537 | TX | MD | Surgical Assistant |
| TPPA1135 | FL | MD | Physician Assistant |
| 2755-P.A. | PR | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780617600000",
"number": "1306779590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 UINTA WAY APT 301",
"city": "DENVER",
"state": "CO",
"postal_code": "802307329",
"telephone_number": "808-256-7950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "82 UINTA WAY APT 301",
"city": "DENVER",
"state": "CO",
"postal_code": "802307329",
"telephone_number": "808-256-7950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE BOLT",
"first_name": "ANNA",
"credential": "P.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-06-05",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PR",
"license": "2755-P.A.",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "TPPA1135",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PR",
"license": "2755-P.A.",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "PR",
"license": "2755-P.A.",
"primary": false
},
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "TX",
"license": "24-537",
"primary": false
},
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "CO",
"license": "S.A.0003415",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.