Organization Active NPI

Alice Bolton PA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sarasota, FL
National Provider Identifier
1346544558
Registry record updated Jan 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
ARNP478692 Issued in FL
Legal business name
ALICE BOLTON PA
Practice address
2750 Bahia Vista,
Ste 108
Sarasota, FL 34239-2636
Phone
(941) 954-1101
NPI assigned
Jan 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2011

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

Authorized official

Name
Ms. Alice Bolton, ARNP,MS,CS,BC
Title
Owner
Phone
(941) 629-0282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X ARNP478692 FL Primary

Addresses

Primary practice location

2750 Bahia Vista,
Ste 108
Sarasota, FL 34239-2636

Mailing address

2577 Ednor St
Port Charlotte, FL 33952-4335
Phone (941) 629-0282

Other identifiers 1

IdentifierTypeStateIssuer
Y3362OtherFLBC/BS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294012800000",
    "number": "1346544558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2577 EDNOR ST",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339524335",
            "telephone_number": "941-629-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 BAHIA VISTA,",
            "address_2": "STE 108",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392636",
            "telephone_number": "941-954-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICE BOLTON PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-03",
        "last_updated": "2011-01-03",
        "status": "A",
        "authorized_official_last_name": "BOLTON",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-629-0282",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP,MS,CS,BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": "ARNP478692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "Y3362",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; 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.