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ETHAN MATTHEW BOLTZ
NPI 1356031819
Student in an Organized Health Care Education/Training Program in Greeley, CO

Active since May 09, 2023

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ethan Matthew Boltz NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN MATTHEW BOLTZ (NPI 1356031819) is an individual student in an organized health care education/training program in Greeley, Colorado and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1356031819
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameETHAN MATTHEW BOLTZ
Location Address1140 M STGreeley, CO 80631-9586
Mailing Address1300 N 17th AveGreeley, CO 80631-9584 · (970) 347-2120
Phone(970) 347-2120
Sole ProprietorNo
Enumeration DateMay 9, 2023
NPPES CertifiedMay 9, 2023
✔ NPI 1356031819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1140 M ST, Greeley, CO 80631
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNA CRUZ CAC III
Counselor (Addiction (Substance Use Disorder))
1140 M ST
GREELEY, CO 80631
Weld County (970) 353-3900
KAREN L EICHEL MED
Counselor
1140 M ST
GREELEY, CO 80631
Weld County (970) 353-3900
BOBBIE HUERTA
Counselor (Mental Health)
1140 M ST
GREELEY, CO 80631
Weld County (970) 353-3900
RACHEL CLAIR LEIBOLD
Social Worker
1140 M ST
GREELEY, CO 80631
Weld County (970) 347-2120
ALLYSON BECERRA
Student in an Organized Health Care Education/Training Program
1140 M ST
GREELEY, CO 80631
Weld County (970) 347-2120
NORTH RANGE BEHAVIORAL HEALTH
Clinic/Center (Mental Health (Including Community Mental Health Center))
1140 M ST
GREELEY, CO 80631
Weld County (970) 347-2120
MAURICE E THOMAS BA
Counselor
1140 M ST
GREELEY, CO 80631
Weld County (970) 353-3900
EDEN ROYER
Peer Specialist
1140 M ST
GREELEY, CO 80631
Weld County (970) 347-2120

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Boltz's NPI number?

The NPI number for Ethan Boltz is 1356031819. It was assigned to this individual provider in the NPPES registry on May 9, 2023.

Where is Ethan Boltz located?

Ethan Boltz practices at 1140 M St, Greeley, CO 80631. The listed phone number is (970) 347-2120.

What is Ethan Boltz's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Ethan Boltz was last updated on May 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.