David Thayer Bolesh, RN

Primary specialty

Infection Control Registered NurseTaxonomy code 163WI0600X

License

273579-1 Issued in NY

Practice address

700 24TH St
Fort Lee, VA 23801-1716

Phone

(804) 734-9028

Fax

(804) 734-9383

NPI assigned

Jan 30, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093851305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13521 GREYFIELD DR",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238316769",
            "telephone_number": "804-734-9028",
            "fax_number": "804-734-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 24TH ST",
            "city": "FORT LEE",
            "state": "VA",
            "postal_code": "238011716",
            "telephone_number": "804-734-9028",
            "fax_number": "804-734-9383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLESH",
        "first_name": "DAVID",
        "middle_name": "THAYER",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infection Control",
            "state": "NY",
            "license": "273579-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Neil Bishop, PT, SCS, ATC
• Vickie Bjorson
• Judy Kates Bland, RN
• Jane Elizabeth Blue, L.P.N
• June Bohrer, PNP
• Raquel Bopp, RD
• Stephen Paul Boychuck, RN, MSN, FNP,C
• Operadella Brown
• Robert Stanley Brown Sr., M.D., PHD
• Arthur Benjamin Buckner, M.D.

• Infection Control Registered Nurse in Fort Lee, VA
• Providers in Fort Lee, VA by specialty
• Infection Control Registered Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.