Vicki K Bolton (NPI# 1811928187, PAC ID# 8022115930) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1811928187 |
| PAC ID by PECOS | 8022115930 |
| Professional Enrollment ID | I20070529000317 |
| Full Name | Vicki K Bolton |
| Organization Legal Name | GENTIVA CERTIFIED HEALTHCARE CORP. |
| Address |
22820 E Appleway Ave Liberty Lake WA 99019-9514 |
| Phone Number | 5094734900 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2000 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7618884529 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 22820 E Appleway Ave, Liberty Lake, WA 99019-9514 | 5094734900 | GENTIVA CERTIFIED HEALTHCARE CORP. |
| Organization Legal Name | GENTIVA CERTIFIED HEALTHCARE CORP. |
| Physicians | 1 |
| Street Address |
22820 E APPLEWAY AVE |
| City | LIBERTY LAKE |
| State | WA |
| Zip | 99019-9514 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lorena Margaret De La Rosa | Nurse Practitioner | Mid-south Home Care Services, LLC | 22820 E Appleway Ave, Suite C, Liberty Lake, WA 99019-9514 |
| Brian F Haberbush | Nurse Practitioner | Gentiva Certified Healthcare Corp | 22820 E Appleway Ave, Liberty Lake, WA 99019-9514 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin W Dow | Podiatry | 23505 E Appleway Ave, Suite 104, Liberty Lake, WA 99019-6003 | |
| Michelle Darnell | Optometry | 23505 E Appleway Ave, Suite 106, Liberty Lake, WA 99019-6003 | |
| Aaryn J Hieb | Physical Therapy | U District Physical Therapy and Institute of Sports Performance | 1334 N Whitman Ln, Suite 100, Liberty Lake, WA 99019-6034 |
| Daniel J Osborne | Chiropractic | 1334 N Whitman Ln, Suite 100, Liberty Lake, WA 99019-6034 | |
| Erik J Patterson | Physical Therapy | U District Physical Therapy and Institute of Sports Performance | 1334 N Whitman Ln, Suite 100, Liberty Lake, WA 99019-6034 |
| Erika J Schiermeister | Physical Therapy | U District Physical Therapy and Institute of Sports Performance | 1334 N Whitman Ln, Suite 100, Liberty Lake, WA 99019-6034 |
| Caleb M Dotson | Physical Therapy | Therapeutic Associates Inc | 23410 E Mission Ave, Suite 2, Liberty Lake, WA 99019-7515 |
| Steve Allen | Physical Therapy | Therapeutic Associates Inc | 23410 E Mission Ave, Suite 2, Liberty Lake, WA 99019-7515 |
| Clayton E Anderson | Physical Therapy | Therapeutic Associates Inc | 23410 E Mission Ave, Suite 2, Liberty Lake, WA 99019-7515 |
| Laura J Fischer | Optometry | 22106 E Country Vista Dr A, Liberty Lake, WA 99019-7558 | |
| Find all physicians in zip 99019 | |||
| City | LIBERTY LAKE |
| Zip Code | 99019 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LIBERTY LAKE + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.