Mary D Bolt, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

1601000086 Issued in MI

Practice address

310 N Clippert St
Ste 4
Lansing, MI 48912-4694

Phone

(517) 332-1691

Fax

(517) 324-0210

NPI assigned

Aug 13, 2006

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 identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Five CS Communication Care PLC

  • Audiologist
  • Saint Johns, MI
  • NPI 1629595806
  NPD (past)
• Hearing Health Center Inc PC

  • Audiologist
  • Lansing, MI
  • NPI 1891708947
  NPD (past)

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401148800000",
    "number": "1922011097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3945 OKEMOS RD",
            "address_2": "STE B1",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488644207",
            "telephone_number": "517-349-0200",
            "fax_number": "517-349-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N CLIPPERT ST",
            "address_2": "STE 4",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489124694",
            "telephone_number": "517-332-1691",
            "fax_number": "517-324-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLT",
        "first_name": "MARY",
        "middle_name": "D",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2014-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "804679861",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS HEARING AIDS",
            "identifier": "540C312880",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS SERVICES",
            "identifier": "640C326130",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Marie Boisclair, FNP
• Matthew Barry Bolin, M.D.
• Melissa Boling, RN
• Rene Emil Boljkovac, DDS
• Allyson Sue Bolt, LMSW
• Sophia Bommarito
• Stacy Bommelje, COTA/L
• Bonds and Bridges Counseling Services
• Tresa Annette Bonds
• Tyrone Bonds

• Audiologist in Lansing, MI
• Providers in Lansing, MI by specialty
• Audiologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.