Individual provider Active NPI

Alison W Bolnick, RN

  • Registered Nurse
  • Greenville, GA
National Provider Identifier
1871930115
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN082072 Issued in GA
Practice address
756 Woodbury Hwy
Greenville, GA 30222-1514
Phone
(706) 775-0544
NPI assigned
May 28, 2013
Last updated
May 28, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN082072 GA Primary

Addresses

Primary practice location

756 Woodbury Hwy
Greenville, GA 30222-1514

Mailing address

113 Twelve Oaks Dr
Lagrange, GA 30241-9647
Phone (706) 302-2691

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN082072GAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369699200000",
    "number": "1871930115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 TWELVE OAKS DR",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302419647",
            "telephone_number": "706-302-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "756 WOODBURY HWY",
            "city": "GREENVILLE",
            "state": "GA",
            "postal_code": "302221514",
            "telephone_number": "706-775-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLNICK",
        "first_name": "ALISON",
        "middle_name": "W",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-28",
        "last_updated": "2013-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN082072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; 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.