Lizette Bolanos-Nauth, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

3359 Issued in CO

Practice address

215 Fox Dr
Boulder, CO 80303-3529

Phone

(617) 710-2975

NPI assigned

Feb 25, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Lizette Bolanos-Hernandez Former name

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.

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479945600000",
    "number": "1730401118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 FOX DR",
            "address_2": "206",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803033529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 FOX DR",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803033529",
            "telephone_number": "617-710-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLANOS-NAUTH",
        "first_name": "LIZETTE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-25",
        "last_updated": "2016-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "3359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIZETTE",
            "last_name": "BOLANOS-HERNANDEZ",
            "prefix": "MS.",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Ryan Bohannan
• Julie Bohler
• Abigail Gertrude Bohn
• Tamara Bohren, DC
• Deborah Boire, LCSW
• Anne Bolgert
• Mary Ann Bolkovatz, CNS
• Michael A Bollenbacher, O.D.
• Judith Bolles, P.T.
• Anjenean Behold Bolster, RN, MSN, PNP

• Occupational Therapist in Boulder, CO
• Providers in Boulder, CO by specialty
• Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.