Jan Bolton

Primary specialty

Occupational Health Registered NurseTaxonomy code 163WX0106X

License

1039998 Issued in AL

Practice address

6150 Omni Park Dr
Mobile, AL 36609-5195

Phone

(251) 639-7959

NPI assigned

Feb 13, 2015

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• JM Family Enterprises, Inc

  • Primary Care Clinic/Center
  • Mobile, AL
  • NPI 1942690458
  NPD (past)

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423785600000",
    "number": "1487045308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6150 OMNI PARK DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366095195",
            "telephone_number": "251-639-7959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 OMNI PARK DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366095195",
            "telephone_number": "251-639-7959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTON",
        "first_name": "JAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-13",
        "last_updated": "2015-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0106X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Occupational Health",
            "state": "AL",
            "license": "1039998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahdy Anis Bolis, MD
• Christopher H Bolling Jr., M.D.
• Jacob Westin Bolling, DO
• Nicholas K Bolling, PA
• Allison McDaniel Bolton, MD
• Leanne Bolton, MS, RD
• Wilburn Donald Bolton III, M.D.
• Hannah Boltz, L.M.T
• Christina Bond, PHARMD
• Somer Moran Bonds

• Occupational Health Registered Nurse in Mobile, AL
• Providers in Mobile, AL by specialty
• Occupational Health Registered Nurse in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.

Verify at the official NPI Registry.