Active NPI
Spenser Bolte
- Marriage & Family Therapist
- Tulsa, OK
National Provider Identifier
1407229966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 907 S Detroit Ave
Suite 1140
Tulsa, OK 74120-4205 - Phone
- (870) 577-9392
- NPI assigned
- Nov 5, 2015
- Last updated
- Nov 5, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
907 S Detroit Ave
Suite 1140
Tulsa, OK 74120-4205
Mailing address
4050 N Wooded Hollow Dr
Fayetteville, AR 72704-5415
Phone (870) 577-9392
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446681600000",
"number": "1407229966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4050 N WOODED HOLLOW DR",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727045415",
"telephone_number": "870-577-9392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907 S DETROIT AVE",
"address_2": "SUITE 1140",
"city": "TULSA",
"state": "OK",
"postal_code": "741204205",
"telephone_number": "870-577-9392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLTE",
"first_name": "SPENSER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-11-05",
"last_updated": "2015-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.