Della Anastasia Bolden, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4704324210 Issued in MI

Practice address

19949 Fenton St
Detroit, MI 48219-1069

Phone

(248) 918-5188

NPI assigned

Jul 24, 2018

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

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.

• All Is Well Health Care

  • In Home Supportive Care Agency
  • Detroit, MI
  • NPI 1174915250
  NPD (past) Authorized official

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1215414065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19949 FENTON ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482191069",
            "telephone_number": "248-918-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19949 FENTON ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482191069",
            "telephone_number": "248-918-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLDEN",
        "first_name": "DELLA",
        "middle_name": "ANASTASIA",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704324210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Oruesefieta Bokan, RPH
• Stacie M Boland
• Zipporah K Bolar Sr., MD
• Shirley A Bolden Lippett, AS.
• Darlene Bolden
• Gregory Bolden II, D.D.S.
• Larry Bolden, BA, SST
• Thomas Jefferson Bolden Jr.
• Kimberly Boldig, DO
• Maged Boles, MD

• Registered Nurse in Detroit, MI
• Providers in Detroit, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; 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.