Raymond Carlton Bolton, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN0000107641 Issued in TN

Practice address

1909 Hampshire Pike
Columbia, TN 84801

Phone

(931) 560-1130

NPI assigned

Sep 12, 2016

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1487102141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 HAMPSHIRE PIKE",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384015650",
            "telephone_number": "931-560-1130",
            "fax_number": "931-560-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 HAMPSHIRE PIKE",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "84801",
            "telephone_number": "931-560-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTON",
        "first_name": "RAYMOND",
        "middle_name": "CARLTON",
        "name_prefix": "Mr.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-12",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN0000107641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamatha Ann Bobo, CRNA
• Krista Boesing
• Sara Boggs, OTR/L
• Beau Bolding, DDS
• Christie Lynn Bolton, BS
• Deanna Michelle Bommarito
• Lindsey Hawthorne Bonas-Page
• Samuel Booker
• Hannah Elizabeth Boren, PHARMD
• Justin Luke Boren, PA

• Registered Nurse in Columbia, TN
• Providers in Columbia, TN by specialty
• Registered Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; 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.