EVELYN YOH BOLT (NPI# 1003076159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003076159 |
| Entity Type | Individual |
| Full Name | EVELYN YOH BOLT |
| Credential | MD |
| Practice Address |
13654 Xavier Ln Suite 201b Broomfield CO 80023-3606 |
| Mailing Address |
686 Rockridge Dr Lafayette CO 80026-8701 |
| Practice Telephone | 7202799098 |
| Practice Fax Number | 7205404250 |
| Mailing Telephone | 7737421899 |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2017-05-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
DR.0051870 | CO | Allopathic & Osteopathic Physicians |
| Y | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
DR.0051870 | CO | Allopathic & Osteopathic Physicians |
| N | 2080S0012X |
Pediatrics Specialization: Sleep Medicine |
DR.0051870 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | MEDICARE PTAN | 370941YWN5 | 01 |
| Street Address |
13654 XAVIER LN SUITE 201B |
| City | BROOMFIELD |
| State | CO |
| Zip Code | 80023-3606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417152976 | Sleepfit, Inc | Clinic/Center | 13654 Xavier Ln, 201-a, Broomfield, CO 80020-3606 | 2007-06-15 |
| 1518334507 | Ashley Biscoe | Naturopath | 13654 Xavier Ln, Suite 202, Broomfield, CO 80023-3606 | 2015-08-26 |
| 1578768032 | Sleepmedrx, Inc | Durable Medical Equipment & Medical Supplies | 13654 Xavier Ln, 201-b, Broomfield, CO 80020-3606 | 2007-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730793803 | Alexis Marie Gerry | Dentist | 13606 Xavier Lane Suite B, Broomfield, CO 80023 | 2020-09-04 |
| 1023646973 | Jonathan Michael Dill | Student in an Organized Health Care Education/Training Program | 14300 Orchard Parkway - 1st Floor, Westminster, CO 80023 | 2020-03-27 |
| 1821624594 | Kelley Stephenson | Social Worker | 469 Co-7, Broomfield, CO 80023 | 2020-03-13 |
| 1205482031 | Visionary Eye Care, Pllc | Optometrist | 16860 Sheridan Parkway, Unit 106, Broomfield, CO 80023 | 2019-08-16 |
| 1104387810 | Daniel Ojala | Student in an Organized Health Care Education/Training Program | 14300 Orchard Pkwy, 1 St Floor, Westminster, CO 80023 | 2019-03-26 |
| 1184102527 | Kristina Elizabeth Rainwater | Occupational Therapist | 3303 W 144th Ave #207, Broomfield, CO 80023 | 2018-07-28 |
| 1689122467 | Jane Vela | Physical Therapist | 14866 Falcon Drive, Broomfield, CO 80023 | 2016-09-21 |
| 1134573850 | Hanger Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 500 W 144th Ave Ste 200, Westminster, CO 80023 | 2016-04-19 |
| 1235541426 | Hearthside Dentistry | Dentist | 16578 N Washington St, Thornton, CO 80023 | 2014-05-22 |
| 1295168698 | Christina O Mcmillon Dentistry, Pllc | Dentist | 16578 North Washington St, Thornton, CO 80023 | 2013-08-21 |
| Find all providers in zip 80023 | ||||
| Taxonomy Code | 207RS0012X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sleep Medicine |
| An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992208508 | Professional Sleep Services | Internal Medicine | 3301 W 144th Ave Unit 205, Broomfield, CO 80023-9600 | 2018-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255834867 | Professional Sleep Services | Internal Medicine | 2350 17th Ave Ste 201, Longmont, CO 80503-1738 | 2018-03-10 |
| 1891298402 | Professional Sleep Services | Internal Medicine | 1517 Blake Ave Ste 202, Glenwood Springs, CO 81601-3966 | 2018-03-10 |
| 1174026785 | Professional Sleep Services | Internal Medicine | 1210 S Parker Rd Ste 100, Denver, CO 80231-2163 | 2018-03-10 |
| 1528561131 | Professional Sleep Services | Internal Medicine | 8151 Southpark Ln Unit 200, Littleton, CO 80120-4502 | 2018-03-10 |
| 1538662143 | Professional Sleep Services | Internal Medicine | 1849 Austin Bluffs Pkwy Ste 150, Colorado Springs, CO 80918-7851 | 2018-03-10 |
| 1881864072 | Todd Dextradeur Md PC | Internal Medicine | 51 W. 84th Ave, Ste 300, Thornton, CO 80260-4883 | 2008-03-04 |
| 1669512307 | James F Pagel Md | Internal Medicine | 1619 Greenwood, Suite 206, Pueblo, CO 81003 | 2007-02-08 |
| 1871680165 | James Frederic Pagel Jr. | Internal Medicine | 1619 N. Greenwood, Suite 206, Pueblo, CO 81003 | 2006-10-06 |
| 1154397826 | Samuel Chang | Internal Medicine | 5835 Lehman Dr., Colorado Springs, CO 80918-3408 | 2006-02-23 |
| 1831193630 | David E Mccarty | Internal Medicine | 4895 Riverbend Rd, Boulder, CO 80301-2640 | 2005-06-09 |
| Find all providers with the same taxonomy | ||||
| City | BROOMFIELD |
| Zip Code | 80023 |
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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.