NATHANIEL BOLTER (NPI# 1659851327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659851327 |
| Entity Type | Individual |
| Full Name | NATHANIEL BOLTER |
| Practice Address |
293 Wilson St Manchester NH 03103-5021 |
| Mailing Address |
2 Wall St Ste 300 Manchester NH 03101-1518 |
| Practice Telephone | 6036684111 |
| Practice Fax Number | 6036287757 |
| Mailing Telephone | 6036684111 |
| Mailing Fax Number | 6036287757 |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2018-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
293 WILSON ST |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03103-5021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194057455 | Tara Rousselle | Counselor | 293 Wilson St, Manchester, NH 03103-5021 | 2010-02-10 |
| 1972120996 | Jessica Lee Vintinner | Specialist | 293 Wilson St, Manchester, NH 03103-5008 | 2020-06-26 |
| 1114558764 | Kimberly Johnson | Counselor | 293 Wilson St, Manchester, NH 03103-5008 | 2020-02-03 |
| 1457916660 | Amy Pettengill | Counselor | 293 Wilson St, Manchester, NH 03103-5021 | 2019-05-02 |
| 1700349024 | Janelle Brophy | Peer Specialist | 293 Wilson St, Manchester, NH 03103-5021 | 2019-04-12 |
| 1588136584 | Marilyn Selfridge | Counselor | 293 Wilson St, Manchester, NH 03103-5021 | 2019-01-02 |
| 1487125902 | Kimberly Marshall | Specialist | 293 Wilson St, Manchester, NH 03103-5021 | 2018-12-10 |
| 1548739519 | Hilary Hopkin | Social Worker | 293 Wilson St, Manchester, NH 03103-5021 | 2018-11-19 |
| 1194208041 | Jacklyn Ruth Jones | Counselor | 293 Wilson St, Manchester, NH 03103-5008 | 2018-09-06 |
| 1609356377 | Annie Day | Peer Specialist | 293 Wilson St, Manchester, NH 03103-5021 | 2018-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023583374 | Melissa K Bascom | Social Worker | C/o Care Coordination Department, 1 Elliot Way, Manchester, NH 03103 | 2018-10-12 |
| 1538650650 | Bluestone Healthcare Services L.L.C. | Physician Assistant | Bluestone Healthcare Services LLC 169 South River Rd, Bedford, NH 03103 | 2018-05-24 |
| 1538662424 | Minal Jamkhande | Pharmacist | 50 S Willow Street, Manchester, NH 03103 | 2018-03-16 |
| 1447776240 | Manchester Health Supplies | Durable Medical Equipment & Medical Supplies | 373 S Willow Street, #328, Manchester, NH 03103 | 2017-08-14 |
| 1184145898 | Susan E Herman | Physical Therapist | 3000 Goffs Falls Road Suite 101, Manchester, NH 03103 | 2017-07-03 |
| 1316476757 | Sara Rose Hanrahan | Occupational Therapist | 3000 Goffs Falls Road, Suite 101, Manchester, NH 03103 | 2017-06-08 |
| 1457802811 | Holly Ann Cekala | Counselor | 140 Central St, Manchester, NH 03103 | 2016-10-20 |
| 1114301249 | Families In Transition | Counselor | 282 Belmont St, Manchester, NH 03103 | 2015-07-18 |
| 1083092282 | Alexander Michael Jones | Family Medicine | 4 Elliot Way Ste 105, Manchester, NH 03103 | 2015-05-08 |
| 1518344100 | Janiris Ruth Matos | Dentist | 8 Vinton Street, Dental Clinic, Manchester, NH 03103 | 2015-05-03 |
| Find all providers in zip 03103 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835802 | Polly Jean Hatfield | Peer Specialist | 56 Marie Langdon Dr, Manchester, KY 40962-6329 | 2020-09-10 |
| 1649828617 | Kevin Moul | Peer Specialist | 2 Wall St Ste 300, Manchester, NH 03101-1518 | 2019-09-03 |
| 1700349024 | Janelle Brophy | Peer Specialist | 293 Wilson St, Manchester, NH 03103-5021 | 2019-04-12 |
| 1154892057 | Nicholas Bickford | Peer Specialist | 1555 Elm St, Manchester, NH 03101-1203 | 2018-12-17 |
| 1609356377 | Annie Day | Peer Specialist | 293 Wilson St, Manchester, NH 03103-5021 | 2018-08-21 |
| 1770063489 | Heather Williams | Peer Specialist | 293 Wilson St, Manchester, NH 03103-5021 | 2018-08-21 |
| 1881170652 | Ebony Sullivan | Peer Specialist | 1555 Elm St, Manchester, NH 03101-1203 | 2018-07-16 |
| 1124536941 | Michael Brown | Peer Specialist | 1555 Elm St, Manchester, NH 03101-1203 | 2018-01-15 |
| 1316451404 | Natalie Agnew | Peer Specialist | 293 Wilson St, Manchester, NH 03103-5021 | 2017-11-28 |
| 1043748973 | Denny Freitas | Peer Specialist | 401 Cypress St, Manchester, NH 03103-3628 | 2017-05-23 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 03103 |
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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.