Kimberly Sue Bolton, PHD, WHCNP

Primary specialty

Religious Nonmedical Nursing PersonnelTaxonomy code 374T00000X

License

APN0000006278 Issued in TN

Practice address

939 E Emerald Ave
Suite 801
Knoxville, TN 37917-4540

Phone

(865) 546-6721

NPI assigned

May 7, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5725/brand/1/csg/1/fhir/r4

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.

• Dr. Martin'S OB-GYN, Inc

  • Obstetrics & Gynecology Physician
  • Knoxville, TN
  • NPI 1922297175
  NPD (past)
• St Marys OBGYN LLC

  • Obstetrics & Gynecology Physician
  • Jefferson City, TN
  • NPI 1912963422
  NPD (past)

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222387200000",
    "number": "1750594925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9616 NORRIS FWY",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378492303",
            "telephone_number": "865-925-2615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 E EMERALD AVE",
            "address_2": "SUITE 801",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379174540",
            "telephone_number": "865-546-6721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTON",
        "first_name": "KIMBERLY",
        "middle_name": "SUE",
        "credential": "PHD, WHCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2008-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374T00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Nursing Personnel",
            "state": "TN",
            "license": "APN0000006278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Kristine Bolster
• Tara Michelle Bolt-McCall, RDH
• Patrick McClure Bolt, MD
• Christian Bolton, MD
• Kathy Wilbourn Bolton, PT
• Lisa Bolton
• Rachael Bolton, LPC-MHSP
• January Laniece Bomar, LPN
• Judy M Bomar
• Addison James Bond, MD

• Religious Nonmedical Nursing Personnel in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Religious Nonmedical Nursing Personnel in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; 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.