Active NPI
Notlob Enterprises
- Primary Care Clinic/Center
- Cookeville, TN
National Provider Identifier
1386123222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- NOTLOB ENTERPRISES
- Practice address
- 260 W 5TH St
Cookeville, TN 38501-1754 - Phone
- (931) 432-5849
- Fax
- (931) 400-0489
- NPI assigned
- Aug 11, 2018
- Last updated
- Mar 20, 2019
- 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
- Dr. James Wade Bolton, DC, APRN, FNP-C
- Title
- Provider
- Phone
- (931) 432-5849
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
260 W 5TH St
Cookeville, TN 38501-1754
Mailing address
3624 Long Lane Rd
Cookeville, TN 38506-8012
Phone (214) 876-1248
Other practice location 1
3624 Long Lane Rd
Cookeville, TN 38506-8012
Phone (931) 432-5849
National Provider Directory
National Provider DirectoryLocations
260 W 5th St
Cookeville, TN 38501
Phone (931) 229-0552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533945600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1553040000000",
"number": "1386123222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3624 LONG LANE RD",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385068012",
"telephone_number": "214-876-1248",
"fax_number": "931-432-4481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 W 5TH ST",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385011754",
"telephone_number": "931-432-5849",
"fax_number": "931-400-0489"
}
],
"practiceLocations": [
{
"address_1": "3624 Long Lane Rd",
"address_purpose": "LOCATION",
"city": "Cookeville",
"state": "TN",
"postal_code": "385068012",
"country_code": "US",
"telephone_number": "931-432-5849",
"fax_number": "931-432-4480",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NOTLOB ENTERPRISES",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-11",
"last_updated": "2019-03-20",
"status": "A",
"authorized_official_last_name": "BOLTON",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "WADE",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "931-432-5849",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC, APRN, FNP-C"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cookeville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.