Kaylie Danielle Bolton, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP137354 Issued in TX

Practice address

2001 Hutchins Ave Ste C
Ballinger, TX 76821-4453

Phone

(325) 365-5737

Fax

(325) 365-2405

NPI assigned

Apr 23, 2018

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)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524441600000",
    "number": "1871080101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 617",
            "city": "BALLINGER",
            "state": "TX",
            "postal_code": "768210617",
            "telephone_number": "325-365-5737",
            "fax_number": "325-365-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 HUTCHINS AVE STE C",
            "city": "BALLINGER",
            "state": "TX",
            "postal_code": "768214453",
            "telephone_number": "325-365-5737",
            "fax_number": "325-365-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTON",
        "first_name": "KAYLIE",
        "middle_name": "DANIELLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-23",
        "last_updated": "2018-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ballinger Memorial Hospital District (Keel Drug Store)
• Ballinger Memorial Hospital District (Ballinger Hospital Clinic)
• Ballinger Memorial Hospital District (Ballinger Hospital Clinic)
• Ballinger Memorial Hospital District (Ballinger Memorial Hospital)
• Benage Dental PLLC
• Ashley L Book, PT
• Bradly Bundrant, M.D.
• Amy Lynn Fischer, RPH
• Brandon R Ford, PT
• Nancy Foster

• Family Nurse Practitioner in Ballinger, TX
• Providers in Ballinger, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; 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.