Active NPI
Tammie Latisha Bolton
- Community Based Hospice Care Agency
- Bradenton, FL
National Provider Identifier
1619299351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 231506
- Practice address
- 6642 68TH St E
Bradenton, FL 34203-9765 - Phone
- (941) 896-0611
- Fax
- (941) 567-0452
- NPI assigned
- Feb 22, 2010
- 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 |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 231506 | FL | Primary |
Addresses
Primary practice location
6642 68TH St E
Bradenton, FL 34203-9765
Mailing address
6642 68TH St E
Bradenton, FL 34203-9765
Phone (941) 896-0611
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
| License | State | Type | Specialty |
|---|---|---|---|
| 231506 | FL | MD | Community Based Hospice Care Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266796800000",
"number": "1619299351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6642 68TH ST E",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342039765",
"telephone_number": "941-896-0611",
"fax_number": "941-567-0452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6642 68TH ST E",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342039765",
"telephone_number": "941-896-0611",
"fax_number": "941-567-0452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLTON",
"first_name": "TAMMIE",
"middle_name": "LATISHA",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-22",
"last_updated": "2010-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "FL",
"license": "231506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.