DR. JAMES WADE BOLTON (NPI# 1477559649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477559649 |
| Entity Type | Individual |
| Full Name | DR. JAMES WADE BOLTON |
| Credential | DC, APRN, FNP-C |
| Practice Address |
340 N Cedar Ave Cookeville TN 38501-2421 |
| Mailing Address |
260 W 5th St Cookeville TN 38501-1754 |
| Practice Telephone | 9317835353 |
| Practice Fax Number | 9317834994 |
| Mailing Telephone | 9314325849 |
| Mailing Fax Number | 9314000489 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2020-04-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 2108 | TN | Chiropractic Providers |
| N | 163W00000X | Registered Nurse | 208311 | TN | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
24437 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
24437 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
2108 | TN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | ADVANCED PRACTICE REGISTERED NURSE | 24437 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 260 W 5th St, Cookeville, TN 385011754 | 9314325849 | 9314000489 |
| 315 N Washington Ave Ste 190, Cookeville, TN 385015984 | 9315208104 | 9315256107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790017564 | James Bolton | Chiropractor | 2801 Ward Blvd, Ste 7a, Wilson, NC 27893-1752 | 2010-02-04 |
| 1487644050 | James P Bolton | Obstetrics & Gynecology | 1751 Gunbarrel Rd, Suite 200, Chattanooga, TN 37421-7177 | 2005-10-25 |
| 1861848392 | James Aaron Bolton | Family Medicine | 521 East Ave, Lockport, NY 14094-3201 | 2016-05-13 |
| 1598059313 | James William Bolton IIi | Dentist | 300 Piney Forest Rd, Danville, VA 24540 | 2011-06-09 |
| 1053452243 | James Randall Bolton | Social Worker | 1441 W Central Park Ave, Davenport, IA 52804-1707 | 2007-02-09 |
| 1932132602 | James Michael Bolton | Social Worker | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2006-07-08 |
| 1699725457 | James Scott Bolton | Radiology | 1900 Fairview Ave, Dothan, AL 36301-3008 | 2006-05-11 |
| 1871577858 | James B Bolton | Family Medicine | 5230 E Stop 11 Rd, Suite 250, Indianapolis, IN 46237-6398 | 2005-12-02 |
| Street Address |
340 N CEDAR AVE |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38501-2421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598391831 | Tera Campbell | Nurse Practitioner | 340 N Cedar Ave, Cookeville, TN 38501-2421 | 2020-03-18 |
| 1376178343 | Tiffany Ward | Nurse Practitioner | 340 N Cedar Ave, Cookeville, TN 38501-2421 | 2020-03-10 |
| 1992223390 | Morgan Elizabeth Smith | Registered Nurse | 340 N Cedar Ave, Cookeville, TN 38501 | 2017-09-06 |
| 1790219061 | Keelyn Boles | Nurse Practitioner | 340 N Cedar Ave, Cookeville, TN 38501 | 2017-04-13 |
| 1124578984 | Caitlin Locke | Physician Assistant | 340 N Cedar Ave, Cookeville, TN 38501-2421 | 2016-10-05 |
| 1659751865 | Maggie Bullock | Nurse Practitioner | 340 N Cedar Ave, Cookeville, TN 38501-2421 | 2015-06-02 |
| 1699167791 | Kayla Elizabeth Anderson | Registered Nurse | 340 N Cedar Ave, Cookeville, TN 38501-2421 | 2015-02-26 |
| 1932536125 | Dolores Maria Thomas | Nurse Practitioner | 340 N Cedar Ave, Cookeville, TN 38501-2421 | 2013-10-02 |
| 1689007981 | Emily Page Gentry | Nurse Practitioner | 340 N Cedar Ave, Cookeville, TN 38501-2421 | 2013-08-10 |
| 1508961301 | Gene Dewayne Adams | Physician Assistant | 340 N Cedar Ave, Cookeville, TN 38501-2421 | 2006-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| 1366950875 | Tara Beth Smith | Occupational Therapist | 315 N Washington Ave Ste 240, Cookeville, TN 38501 | 2018-01-18 |
| 1669990339 | Tonya Rachelle Perry | Counselor | 13 South Jefferson Ave, Cookeville, TN 38501 | 2017-09-01 |
| 1659896207 | Dustin Chase Rich | Physical Therapist | 105 S. Willow Ave, #100, Cookeville, TN 38501 | 2017-08-04 |
| 1487009668 | Holly Young | Physical Therapist | 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 | 2016-04-26 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1881099885 | Carlos Alberto Podesta | Internal Medicine | 238 W 4th St Ste 200, Cookeville, TN 38501 | 2014-11-03 |
| 1124445002 | Shashank Sarvepalli | Internal Medicine | 1 Medical Center Blvd Ste D, Cookeville, TN 38501 | 2014-03-27 |
| 1689095762 | Kendra Hicks | Licensed Practical Nurse | 701 County Services Drive, Cookeville, TN 38501 | 2013-12-17 |
| Find all providers in zip 38501 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356824379 | Natashia Melton | Nurse Practitioner | 1271 Walton Ln, Cookeville, TN 38501-1866 | 2018-09-14 |
| 1215414628 | Danny Miller | Nurse Practitioner | 606 E Spring St Ste B, Cookeville, TN 38501-5067 | 2018-07-27 |
| 1851893028 | Sarah Delk | Nurse Practitioner | 105 S Willow Ave Ste 100, Cookeville, TN 38501-4668 | 2018-03-05 |
| 1396102521 | British Bates | Nurse Practitioner | 1644 E Spring St, Cookeville, TN 38506-4317 | 2016-01-19 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1790113553 | Hometown Family Care, LLC | Nurse Practitioner | 675 B South Jefferson Avenue, Cookeville, TN 38501-0950 | 2013-10-14 |
| 1962740217 | Christie Hummel | Nurse Practitioner | 112 N. Walnut Ave, Cookeville, TN 38501 | 2013-01-22 |
| 1922344761 | Grant P Hall | Nurse Practitioner | 1362 Ivy Ln, Cookeville, TN 38501-3057 | 2012-12-26 |
| 1740539063 | Jennifer Lynn Lee | Nurse Practitioner | 4725 Maple Shade Cir, Cookeville, TN 38501-0829 | 2012-08-31 |
| 1780961169 | Heather Harden Cathey | Nurse Practitioner | 1120 Sam's Street, Cookeville, TN 38506 | 2011-11-14 |
| Find all providers in COOKEVILLE | ||||
| City | COOKEVILLE |
| Zip Code | 38501 |
Please comment or provide details below to improve the information on DR. JAMES WADE BOLTON.
| 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.