AMANDA ROBERTSON BOLTON (NPI# 1023545019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023545019 |
| Entity Type | Individual |
| Full Name | AMANDA ROBERTSON BOLTON |
| Credential | FNP-C |
| Practice Address |
2335 Church St Ste E Zachary LA 70791-2700 |
| Mailing Address |
2840 Florida Blvd Baton Rouge LA 70802-2721 |
| Practice Telephone | 2256543607 |
| Mailing Telephone | 2255260001 |
| Mailing Fax Number | 2257659196 |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2019-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 143644 | LA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APO9349 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2452754 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4950 Essen Ln Ste 300, Baton Rouge, LA 708093739 | 2257570343 | 2257578354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467924977 | Amanda Sue Bolton | Pharmacist | 707 Lamar Ave Ste B, Paris, TX 75460-4460 | 2018-12-21 |
| 1841701349 | Amanda Bolton | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2017-10-24 |
| 1376914044 | Amanda Bolton | Behavioral Analyst | 12040 98th Ave Ne, Ste 204, Kirkland, WA 98034-4290 | 2015-10-07 |
| 1679983407 | Amanda Bolton | Nurse Practitioner | 2352 Meadows Blvd, Ste 300, Castle Rock, CO 80109-8419 | 2014-05-01 |
| Street Address |
2335 CHURCH ST STE E |
| City | ZACHARY |
| State | LA |
| Zip Code | 70791-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164054110 | Amandalin Hopkins Whittington | Occupational Therapist | 4555 Bert St, Zachary, LA 70791 | 2020-02-07 |
| 1346883352 | Dr Terrell S Manuel LLC | Nurse Practitioner | 12038 Greenwell Springs/port Hudson Road, Zachary, LA 70791 | 2019-10-22 |
| 1902451131 | Edward Williams | Case Manager/Care Coordinator | 22749 Fairvway View Drive, Zachary, LA 70791 | 2019-08-05 |
| 1275090672 | Ashley Talbot Thompson | Nurse Practitioner | 5645 Newell St, Zachary, LA 70791 | 2019-02-22 |
| 1659867265 | American Oncology Partners, P.a. | Internal Medicine | 1673 E Mount Pleasant Rd Unit F102, Zachary, LA 70791 | 2018-07-06 |
| 1629574447 | Darren Keith Ryland | Massage Therapist | 5037 Main St, Suite B, Zachary, LA 70791 | 2018-04-02 |
| 1306355102 | Radiation Oncology Center - Zachary | Clinic/Center | 6180 Main Street, Ste B, Zachary, LA 70791 | 2017-09-25 |
| 1861913568 | Sylvia Simone Henderson | Case Manager/Care Coordinator | 8932 Highland Oaks Ave, Zachary, LA 70791 | 2017-07-03 |
| 1346770674 | Gaylian Anthony White | Counselor | 20051 Old Senic Hwy, Apt 2605, Zachary, LA 70791 | 2017-06-19 |
| 1104353218 | Jessica Rene Griffin | Counselor | 6676 Lakeridge Drive, Zachary, LA 70791 | 2017-05-19 |
| Find all providers in zip 70791 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346883352 | Dr Terrell S Manuel LLC | Nurse Practitioner | 12038 Greenwell Springs/port Hudson Road, Zachary, LA 70791 | 2019-10-22 |
| 1275090672 | Ashley Talbot Thompson | Nurse Practitioner | 5645 Newell St, Zachary, LA 70791 | 2019-02-22 |
| 1356833883 | Chelsey D Phillips | Nurse Practitioner | 1215 Independence Blvd Ste 1a, Zachary, LA 70791-7391 | 2018-05-31 |
| 1588184220 | Monique Pierre Williams | Nurse Practitioner | 2696 Pine Thicket Ave, Zachary, LA 70791-2871 | 2017-06-23 |
| 1598158883 | Ashley Nicole Whitfield | Nurse Practitioner | 5288 Queens Carriage St, Zachary, LA 70791-3248 | 2015-03-10 |
| 1750716841 | Alicia Hart | Nurse Practitioner | 20040 Plank Rd, Zachary, LA 70791-8227 | 2013-09-07 |
| 1780861468 | Terrell S Manuel | Nurse Practitioner | 12038 Greenwell Springs Port Hudson Road, Zachary, LA 70791 | 2008-01-25 |
| 1023679040 | Lori Grace | Nurse Practitioner | 6550 Main St Ste 3500, Zachary, LA 70791-4092 | 2019-06-21 |
| 1700365731 | Ashley Lee | Nurse Practitioner | 6351 Main St, Zachary, LA 70791-4038 | 2018-08-09 |
| 1225578313 | Caroline Barkerding | Nurse Practitioner | 6550 Main St, Ste. 1000, Zachary, LA 70791-4092 | 2017-03-08 |
| Find all providers in ZACHARY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.