Active NPI
Alice Bolton PA
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sarasota, FL
National Provider Identifier
1346544558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- ARNP478692
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y3362 | Other | FL | BC/BS |
National Provider Directory
National Provider DirectoryNPI 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.