Individual provider Active NPI

Stephanie Lashae Bolden, MSN, DNP, RN

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1073196648
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F09220136 Issued in OH
Practice address
3101 Burnet Ave
Cincinnati, OH 45229-3014
Phone
(513) 357-7289
NPI assigned
May 3, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X APRN.CNP.0032681 OH
Family Nurse Practitioner 363LF0000X F09220136 OH Primary
Registered Nurse 163W00000X 283570 OH

Addresses

Primary practice location

3101 Burnet Ave
Cincinnati, OH 45229-3014

Mailing address

1430 Oak CT Ste 100
Beavercreek, OH 45430-1064
Phone (937) 404-1101

Other practice location 1

10575 Springfield Pike
Cincinnati, OH 45215-1170
Phone (513) 815-3852

Other practice location 2

1068 State Route 28
Milford, OH 45150-2095
Phone (513) 531-5900

Other practice location 3

7709 Hoke Rd
Englewood, OH 45315-9725
Phone (937) 209-2940

Other names 1

  • Dr. Stephanie Lashae Bolden Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230120001395 OH Practitioner - Nurse Practitioner 9335510874 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CG Medical Associates IncGroup PAC ID 6608052196, 171 clinicians

Practice addresses (Care Compare)

1492 S Erie Blvd
Hamilton, OH 45011
Phone (513) 847-6778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
283570OHMDRegistered Nurse
F09220136OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CG Medical Associates Inc Multi-Specialty CurrentSince Dec 15, 2022 Accepting new patients
Ohio Med LLC Multi-Specialty CurrentSince Oct 1, 2023 Accepting new patients
Urgent Care Specialists, LLC Multi-Specialty PastSince Sep 1, 2016 Accepting new patients

Locations

3714 Madison Rd
Cincinnati, OH 45209
Phone (513) 204-1500

7300 Beechmont Ave
Cincinnati, OH 45230
Phone (513) 232-9100

1492 S Erie Hwy
Hamilton, OH 45011
Phone (513) 765-6890

12089 Lebanon Rd
Sharonville, OH 45241
Phone (513) 914-5002

7570 Voice of America Centre Dr
West Chester, OH 45069
Phone (513) 442-3454

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1073196648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 OAK CT STE 100",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454301064",
            "telephone_number": "937-404-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 BURNET AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293014",
            "telephone_number": "513-357-7289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10575 Springfield Pike",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452151170",
            "country_code": "US",
            "telephone_number": "513-815-3852",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1068 State Route 28",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "OH",
            "postal_code": "451502095",
            "country_code": "US",
            "telephone_number": "513-531-5900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7709 Hoke Rd",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "OH",
            "postal_code": "453159725",
            "country_code": "US",
            "telephone_number": "937-209-2940",
            "fax_number": "937-809-2941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLDEN",
        "first_name": "STEPHANIE",
        "middle_name": "LASHAE",
        "name_prefix": "Dr.",
        "credential": "MSN, DNP, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-03",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0032681",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "F09220136",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "283570",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "BOLDEN",
            "middle_name": "LASHAE",
            "prefix": "DR.",
            "credential": "MSN, DNP, RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.