Organization Active NPI

Notlob Enterprises

  • Primary Care Clinic/Center
  • Cookeville, TN
National Provider Identifier
1386123222
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.