Individual provider Active NPI

Alice Bolton, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Sarasota, FL
National Provider Identifier
1386640985
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
ARNP478692 Issued in FL
Practice address
2750 Bahia Vista St
Ste 108
Sarasota, FL 34239-2636
Phone
(941) 954-1101
Fax
(941) 953-2707
NPI assigned
Jun 28, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X ARNP478692 FL Primary

Addresses

Primary practice location

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

Mailing address

2750 Bahia Vista St
Ste 108
Sarasota, FL 34239-2636
Phone (941) 954-1101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386640985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 BAHIA VISTA ST",
            "address_2": "STE 108",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392636",
            "telephone_number": "941-954-1101",
            "fax_number": "941-953-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 BAHIA VISTA ST",
            "address_2": "STE 108",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392636",
            "telephone_number": "941-954-1101",
            "fax_number": "941-953-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTON",
        "first_name": "ALICE",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP478692",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 8, 2007; 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.