Nora E Bolanos, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME68995 Issued in FL

Practice address

1001 Kevstin Dr
Kissimmee, FL 34744-5811

Phone

(407) 847-2050

Fax

(407) 847-9866

NPI assigned

Dec 5, 2006

Sex

Female

Sole proprietor

Yes

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 Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: nbolanos31101@direct.nemours.org

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.

• Children'S Health Alliance, LLC

  • Pediatrics Physician
  • Orlando, FL
  • NPI 1366709321
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1891853313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10140 CENTURION PKWY N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560532",
            "telephone_number": "904-697-4100",
            "fax_number": "904-697-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 KEVSTIN DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347445811",
            "telephone_number": "407-847-2050",
            "fax_number": "407-847-9866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "319 W Oak St",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347414421",
            "country_code": "US",
            "telephone_number": "407-343-5683",
            "fax_number": "407-343-5684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLANOS",
        "first_name": "NORA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME68995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob A Bognar
• Boh Health Plus Corp
• Beverly Bohn, M.ED
• Sandra Bohon, MA, LMHC
• Amjad Bokhari, MD
• Arianna Bolivar Bolivar
• Kevin Melton Bolton, M.D.
• Eduardo Fausto Bolumen, M.D.
• Rajesh Bommareddy
• Jose Bones, RN

• Pediatrics Physician in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.