Tina Bolon

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Practice address

8340 Viewpoint LN
Cornelius, NC 28031-8231

Phone

(980) 248-0358

NPI assigned

Sep 6, 2023

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 6, 2023.

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1487430385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8340 VIEWPOINT LN",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280318231",
            "telephone_number": "980-248-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8340 VIEWPOINT LN",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280318231",
            "telephone_number": "980-248-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLON",
        "first_name": "TINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bluestone Psychotherapy
• Wendyleigh Kathleen Bodick, MSW, LCSW
• Body Electric
• Tanika R Bolar-Byrd, BS
• Angela Bollinger, MS, ACSM-EP
• Anna Bordeaux
• Pamela Boston
• Anna Taylor Boulware, LCMHC, NCC
• Casey Leann Bowden, LCMHC
• Chanel C. Bowen, LPC, LCAS, CCS, NCC

• All providers in Cornelius, NC
• Attendant Care Provider in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.