Earlene Katrice Bolton

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1430 Olive St
Suite 500
Saint Louis, MO 63103-2303

Phone

(314) 206-3700

NPI assigned

May 18, 2010

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274140800000",
    "number": "1376862276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 OAK FOREST PARKWAY CT",
            "address_2": "APARTMENT F",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631461991",
            "telephone_number": "314-609-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 OLIVE ST",
            "address_2": "SUITE 500",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631032303",
            "telephone_number": "314-206-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTON",
        "first_name": "EARLENE",
        "middle_name": "KATRICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-18",
        "last_updated": "2010-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Dado Bollozos, M.D.
• Rolph M Bolstad, CRNA
• Patricia Jean Bolster, M.D.
• Carmen Bolt
• Rachel Beth Bolter, MA, PLPC
• Kelly Leigh Bolton, MD
• Patrick Bolton, D.O.
• Allison Charlotte Boltwood, PT, DPT
• Sebastian Boluarte Baca, MD
• Jamie Bommarito, RD, LD

• Case Manager/Care Coordinator in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Case Manager/Care Coordinator in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; 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.