KRISTY MICHILLE BOLT (NPI# 1881117521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881117521 |
| Entity Type | Individual |
| Full Name | KRISTY MICHILLE BOLT |
| Other Name | KRISTY MICHILLE GODFREY |
| Credential | APRN |
| Practice Address |
4330 Maynardville Hwy Maynardville TN 37807 |
| Mailing Address |
1923 Sulphur Springs Rd Morristown TN 37813-5654 |
| Practice Telephone | 8659923849 |
| Practice Fax Number | 8659925166 |
| Mailing Telephone | 4233179344 |
| Mailing Fax Number | 4237142355 |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2018-06-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN150366 | TN | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
22497 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | STATE LICENSE | 22497 | 01 |
| Street Address |
4330 MAYNARDVILLE HWY |
| City | MAYNARDVILLE |
| State | TN |
| Zip Code | 37807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801894001 | Jeffrey D Greenwood | Psychiatry & Neurology | 4330 Maynardville Hwy, Maynardville, TN 37807-3618 | 2005-07-12 |
| 1518512367 | Melanie Dupree Norman | Developmental Therapist | 4330 Maynardville Hwy, Maynardville, TN 37807-3618 | 2019-08-08 |
| 1699335190 | Chelsey Germaine Keyes | Dental Assistant | 4330 Maynardville Hwy, Maynardville, TN 37807-3618 | 2019-06-17 |
| 1881166809 | Margaret Stallard | Licensed Practical Nurse | 4330 Maynardville Hwy, Maynardville, TN 37807-3618 | 2019-01-02 |
| 1780155960 | Glenda Gill | Dental Assistant | 4330 Maynardville Hwy, Maynardville, TN 37807-3618 | 2018-12-16 |
| 1528539038 | Tanya Hodges | Dental Hygienist | 4330 Maynardville Hwy, Maynardville, TN 37807-3618 | 2018-12-10 |
| 1649741380 | Brenda Stanley | Nurse's Aide | 4330 Maynardville Hwy, Maynardville, TN 37807-3618 | 2018-12-06 |
| 1427528355 | April Dawn Cooke | Registered Nurse | 4330 Maynardville Hwy, Maynardville, TN 37807-3618 | 2018-12-04 |
| 1548730815 | Amanda Gail Farmer | Nurse's Aide | 4330 Maynardville Hwy, Maynardville, TN 37807-3618 | 2018-11-29 |
| 1396228136 | Misty Danielle Sexton | Licensed Practical Nurse | 4330 Maynardville Hwy, Maynardville, TN 37807-3618 | 2018-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497368815 | Ian Carter Mccormick | Pharmacist | 2710 Maynardville Highway, Maynardville, TN 37807 | 2020-08-25 |
| 1053963975 | Maynardville Drug LLC | Pharmacy | 2975 Maynardville Hwy, Maynardville, TN 37807 | 2019-07-11 |
| 1811014533 | Leah Renee Lewis | Specialist/Technologist | 108 Harmon Drive, Maynardville, TN 37807 | 2007-03-26 |
| 1659497394 | Mohammad Bhidya Md PC | Nurse Practitioner | 2595 Maynardville Hwy, Maynardville, TN 37807 | 2007-03-22 |
| 1053350363 | Thomas J Demaro | Emergency Medicine | 598 John Deere Drive, Maynardville, TN 37807 | 2006-06-05 |
| 1134504764 | East Tennessee Physical Therapy,llc | Clinic/Center | 4357 Maynardville Hwy, Maynardville, TN 37807 | 2015-07-24 |
| 1447500731 | Julie M Roberts | Pharmacist | 4344 Maynardville Hwy, Maynardville, TN 37807 | 2012-09-13 |
| 1669623898 | Stallion Medical Group P.C. | Family Medicine | 598 John Deere Drive, Maynardville, TN 37807 | 2008-10-07 |
| 1952442618 | Lisa D Smallen-lee | Nutritionist | 4335 Maynardville Hwy, Maynardville, TN 37807 | 2007-02-08 |
| 1033279872 | Darrell James Johnson | Chiropractor | 110 Skyline Drive, Maynardville, TN 37807 | 2006-12-11 |
| Find all providers in zip 37807 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861660342 | Jennifer M. Savage | Nurse Practitioner | 2945 Maynardville Hwy Ste 3, Maynardville, TN 37807-3247 | 2008-02-18 |
| 1659497394 | Mohammad Bhidya Md PC | Nurse Practitioner | 2595 Maynardville Hwy, Maynardville, TN 37807 | 2007-03-22 |
| 1891161345 | Brandy Hopson | Nurse Practitioner | 149 Durham Dr, Maynardville, TN 37807-2925 | 2015-08-19 |
| 1497037451 | Ucsc Primary Care | Nurse Practitioner | 598 John Deere Dr, Maynardville, TN 37807-3212 | 2011-09-15 |
| 1720374697 | Kayla Renee Brummitte Newcomb | Nurse Practitioner | 598 John Deere Dr, Maynardville, TN 37807-3212 | 2011-06-20 |
| 1568752038 | Julie S Newman | Nurse Practitioner | 149 Durham Dr, Maynardville, TN 37807-2925 | 2011-04-18 |
| 1154658409 | Emily L Harless | Nurse Practitioner | 2945 Maynardville Hwy, Suite 3, Maynardville, TN 37807-3251 | 2009-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003731 | Erika Erickson | Nurse Practitioner | 2205 Steel Ct, Nolensville, TN 37135-9562 | 2020-11-06 |
| 1275134025 | Dara Downs | Nurse Practitioner | 1120 Glenview Dr, Nashville, TN 37206-3832 | 2020-11-06 |
| 1477154367 | Katrina Miller | Nurse Practitioner | 515 Lillard Rd, Murfreesboro, TN 37130-3131 | 2020-11-05 |
| 1780285932 | Caitlyn Lawson | Nurse Practitioner | 7637 Saddlebrooke Dr, Knoxville, TN 37938-4044 | 2020-11-04 |
| 1134729965 | Jamie Mclemore | Nurse Practitioner | 17619 Hwy 58 North, Decatur, TN 37322-3732 | 2020-10-30 |
| 1154921120 | Melissa Ann Mcnutt | Nurse Practitioner | 941 Windsor Ave, Bristol, TN 37620-2155 | 2020-10-29 |
| 1033718960 | Kasi Wells | Nurse Practitioner | 1421 Porter Rd Ste 4, Nashville, TN 37206-1669 | 2020-10-21 |
| 1730787193 | Nancy Katherine Ray | Nurse Practitioner | 4576 Poplar Ave, Memphis, TN 38117-7502 | 2020-10-16 |
| 1407454101 | Jason D Jones | Nurse Practitioner | 213 Austell Dr, Columbia, TN 38401-5531 | 2020-10-14 |
| 1295333045 | Alma Sue Moore | Nurse Practitioner | 14 Shady Lane Est, Humboldt, TN 38343-6650 | 2020-10-14 |
| Find all providers with the same taxonomy | ||||
| City | MAYNARDVILLE |
| Zip Code | 37807 |
Please comment or provide details below to improve the information on KRISTY MICHILLE BOLT.
| 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.