Billie Bolden, PNP

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

2766 Issued in CA

Practice address

5671 Santa Teresa Blvd
Suite 105
San Jose, CA 95123-6512

Phone

(408) 284-2281

Fax

(408) 281-2857

NPI assigned

Nov 18, 2008

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

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226966400000",
    "number": "1184879165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5671 SANTA TERESA BLVD",
            "address_2": "SUITE 105",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951236512",
            "telephone_number": "408-284-2281",
            "fax_number": "408-281-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5671 SANTA TERESA BLVD",
            "address_2": "SUITE 105",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951236512",
            "telephone_number": "408-284-2281",
            "fax_number": "408-281-2857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLDEN",
        "first_name": "BILLIE",
        "credential": "PNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-18",
        "last_updated": "2008-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": "2766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Bok, ASW
• Annette Boken, LMFT
• Aleksandra Dorota Bokszczanin-Knosala, MD
• Jaspreet Kaur Bola, MS, MPH
• Javier Bolanos Soria
• Shanica Bolden
• Melissa Jeanne Boldrey, B.S.
• Ashley Jenea Boleware, MA
• Marina Albine Boliaris, MFT
• Lauren Bollinger

• Community Health Clinic/Center in San Jose, CA
• Providers in San Jose, CA by specialty
• Community Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; 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.