Individual provider Active NPI

Kay A Bolton, MS. SP ED

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1598027781
Registry record updated Jun 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
112353 Issued in NY
Practice address
990 Montgomery St
Apt 3D
Brooklyn, NY 11213-5778
Phone
(347) 224-1522
NPI assigned
Jun 13, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 112353 NY Primary

Addresses

Primary practice location

990 Montgomery St
Apt 3D
Brooklyn, NY 11213-5778

Mailing address

990 Montgomery St
Apt 3D
Brooklyn, NY 11213-5778
Phone (347) 224-1522

Other identifiers 2

IdentifierTypeStateIssuer
174400000XOtherNYTEACHER
174400000XMedicaidNY

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

State licenses

LicenseStateTypeSpecialty
112353NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Something Else to Learning, Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339545600000",
    "number": "1598027781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 MONTGOMERY ST",
            "address_2": "APT 3D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112135778",
            "telephone_number": "347-224-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 MONTGOMERY ST",
            "address_2": "APT 3D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112135778",
            "telephone_number": "347-224-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTON",
        "first_name": "KAY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MS. SP ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-13",
        "last_updated": "2012-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "112353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEACHER",
            "identifier": "174400000X",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174400000X",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; 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.