ADRIENNE BOLAN (NPI# 1316554181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316554181 |
| Entity Type | Individual |
| Full Name | ADRIENNE BOLAN |
| Credential | CPNP-PC |
| Practice Address |
875 Friendship Rd Tallassee AL 36078-1255 |
| Practice Telephone | 3342833111 |
| Mailing Telephone | 3342833111 |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2020-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
1-155461 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
875 FRIENDSHIP RD |
| City | TALLASSEE |
| State | AL |
| Zip Code | 36078-1255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306848494 | Thomas Daniel Holt | Family Medicine | 875 Friendship Rd, Tallassee, AL 36078-1234 | 2005-08-10 |
| 1578072757 | Lori Michelle Woodley | Nurse Practitioner | 875 Friendship Rd, Tallassee, AL 36078-1255 | 2017-09-20 |
| 1144758756 | Brandi Criswell | Nurse Practitioner | 875 Friendship Rd, Tallassee, AL 36078-1255 | 2017-05-25 |
| 1073067856 | Deray Junior Williams | Nurse Practitioner | 875 Friendship Rd, Tallassee, AL 36078 | 2016-08-09 |
| 1952799371 | Diana L Kenyon | Nurse Practitioner | 875 Friendship Rd, Tallassee, AL 36078-1234 | 2015-01-07 |
| 1982941381 | Community Hospital Inc | Family Medicine | 875 Friendship Rd, Tallassee, AL 36078-1234 | 2013-01-07 |
| 1841468238 | Central Alabama Foot Care LLC | Durable Medical Equipment & Medical Supplies | 875 Friendship Rd, Suite J, Tallassee, AL 36078-1234 | 2008-02-19 |
| 1114118064 | Community Medical Arts Center | Family Medicine | 875 Friendship Rd, Tallassee, AL 36078-1234 | 2007-08-06 |
| 1568590339 | Community Hospital Clinical Lab | Clinical Medical Laboratory | 875 Friendship Rd, Tallassee, AL 36078-1234 | 2007-03-01 |
| 1841219078 | Chanda Day Houts | Podiatrist | 875 Friendship Rd, Suite K, Tallassee, AL 36078-1234 | 2006-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811286321 | Kenneth Wesley Atkins | Behavioral Analyst | 101 S Dubois, Tallassee, AL 36078 | 2011-04-05 |
| 1811089030 | Shawn Keahey | Dentist | 1608b Gilmer Avenue, Tallassee, AL 36078 | 2006-09-28 |
| 1952409088 | Randal David Herring | Chiropractor | 315 Friendship Road, Tallassee, AL 36078 | 2006-09-20 |
| 1609801133 | Alexander Robbins | Surgery | 875 Friendship Road, Cmac Suite F, Tallassee, AL 36078 | 2006-07-12 |
| 1063467447 | John H Rand | Otolaryngology | 80 Herren Hill Road, Ste D, Tallassee, AL 36078 | 2006-05-23 |
| 1881752996 | Charles D Mccartha | Dentist | 1608b Gilmer Avenue, Tallassee, AL 36078 | 2006-12-04 |
| 1013009315 | Tallassee Family Dentistry PCc | Dentist | 1608b Gilmer Avenue, Tallassee, AL 36078 | 2006-09-28 |
| 1538191648 | Tom Crain | Physical Therapist | 1000 Friendship Rd, Tallassee, AL 36078 | 2006-07-07 |
| 1417412081 | Collin Jones | Specialist/Technologist | 213 Godwin Rd, Tallassee, AL 36078-1129 | 2019-02-07 |
| 1598868234 | Alabama Cvs Pharmacy, L.L.C. | Pharmacy | 10 Gilmer Ave, Tallassee, AL 36078-1206 | 2006-09-07 |
| Find all providers in zip 36078 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225636038 | Samantha Thompson | Nurse Practitioner | 1600 7th Ave S Fl 2, Birmingham, AL 35233-1711 | 2020-10-14 |
| 1831722289 | Tiffany Garrett | Nurse Practitioner | 333 Whitesport Dr Sw Ste 104, Huntsville, AL 35801-3455 | 2020-02-13 |
| 1033776612 | Erin Tracy Swing | Nurse Practitioner | 1600 7th Ave S Fl Apass2, Birmingham, AL 35233-1711 | 2019-05-20 |
| 1629531181 | Holley Lewis Collins | Nurse Practitioner | 1601 Center St Ste 1a, Mobile, AL 36604-1541 | 2019-04-11 |
| 1023591245 | Katherine Leigh Cassidy | Nurse Practitioner | 2001 Fieldstown Rd, Gardendale, AL 35071-4628 | 2018-09-13 |
| 1588145544 | Allison Mcdill Williams | Nurse Practitioner | 1101 Stephen J White Memorial Boulevard, Talladega, AL 35160 | 2018-08-27 |
| 1740769801 | Amy Leigh Jenkins | Nurse Practitioner | 1600 7th Ave S Bldg Suit5604, Birmingham, AL 35233-1711 | 2018-08-09 |
| 1467931949 | Kelly M Bonnett | Nurse Practitioner | 117 N Chalkville Rd, Trussville, AL 35173 | 2018-08-07 |
| 1184102931 | Molly Dixon Bolton | Nurse Practitioner | 1600 7th Ave S Bldg Suite620, Birmingham, AL 35233-1711 | 2018-08-03 |
| 1760968580 | Gladys Cooks | Nurse Practitioner | 8517 Highlands Trce, Trussville, AL 35173-3815 | 2018-07-15 |
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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.