Emalee K Boldt, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN310075 Issued in PA

Practice address

1 Futures Way
Bradford, PA 16701-1866

Phone

(814) 368-4101

NPI assigned

Jul 23, 2021

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

Locations

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.

• Futures Rehabilitation Center, Inc.

  • Nursing Care Agency
  • Bradford, PA
  • NPI 1972107597
  NPD

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1164095436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FUTURES WAY",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167011866",
            "telephone_number": "814-368-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FUTURES WAY",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167011866",
            "telephone_number": "814-368-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLDT",
        "first_name": "EMALEE",
        "middle_name": "K",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-23",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN310075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shabir Bhayani, M.D.
• Gregory Thomas Blatz, CRNA
• Elizabeth M Bless, NP
• Marsha J Blessing, COTAL
• Kirsten Lara Bogue, MS CCC SLP
• James Boyer, RPA-C
• Bradford Area School District
• Bradford Area Transport Service, LLC
• Bradford Chiropractic Center LLC
• Bradford Dental Center

• Licensed Practical Nurse in Bradford, PA
• Providers in Bradford, PA by specialty
• Licensed Practical Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.