Active NPI
Anna Bolton
- Athletic Trainer
- Booneville, MS
National Provider Identifier
1558284018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1122
- Practice address
- 101 Cunningham Blvd
Booneville, MS 38829-1726 - Phone
- (662) 720-7158
- NPI assigned
- Aug 3, 2026
- Last updated
- Aug 3, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1122 | MS | Primary |
Addresses
Primary practice location
101 Cunningham Blvd
Booneville, MS 38829-1726
Mailing address
101 Seventh St
Booneville, MS 38829-2617
Phone (706) 977-5014
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": "1785715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785715200000",
"number": "1558284018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 SEVENTH ST",
"city": "BOONEVILLE",
"state": "MS",
"postal_code": "388292617",
"telephone_number": "706-977-5014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 CUNNINGHAM BLVD",
"city": "BOONEVILLE",
"state": "MS",
"postal_code": "388291726",
"telephone_number": "662-720-7158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLTON",
"first_name": "ANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-03",
"last_updated": "2026-08-03",
"certification_date": "2026-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MS",
"license": "1122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Booneville, MS
- Dorothy May Bean
- William J Bell Jr., MD
- Patricia D. Billups
- Malerie Blakney
- Derrick Roy Blythe, D.C.
- Booneville Anesthesia Services LLC
- Booneville Assisted Living LLC
- Booneville Chiropractic Clinic, P.a.
- Booneville Community Pharmacy of Ms Inc.
- Booneville Community Pharmacy of Msinc (Booneville Community Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.