Individual provider Active NPI

Christa A Bolden, NP

  • Family Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1235644451
Registry record updated Oct 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP135795 Issued in TX
Practice address
306 E Randol Mill Rd Ste 700
Arlington, TX 76011-1410
Phone
(469) 252-7088
Fax
(469) 320-1947
NPI assigned
Dec 11, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP135795 TX
Family Nurse Practitioner 363LF0000X AP135795 TX Primary
Secured Medical Transport (VAN) 343800000X TX

Addresses

Primary practice location

306 E Randol Mill Rd Ste 700
Arlington, TX 76011-1410

Mailing address

306 E Randol Mill Rd Ste 700
Arlington, TX 76011-1410
Phone (469) 252-7088

Other practice location 1

9300 Mansfield Rd Ste 110
Shreveport, LA 71118-3137
Phone (318) 681-6795

Other practice location 2

1320 Wonder World Dr Ste 101
San Marcos, TX 78666-7558
Phone (512) 353-6400

Other practice location 3

4046 Dowlen Rd Ste A
Beaumont, TX 77706-6849
Phone (409) 225-5924

Other practice location 4

11823 Culebra Rd Ste 105
San Antonio, TX 78253-4563
Phone (210) 598-1517

Other practice location 5

5638 Saratoga Blvd Ste 114
Corpus Christi, TX 78414-4134
Phone (361) 444-5280

Other practice location 6

1339 S Broadway St
Sulphur Springs, TX 75482-4895
Phone (888) 335-7111

Other practice location 7

7045 Youree Dr
Shreveport, LA 71105-5108
Phone (318) 681-6890

Other practice location 8

2151 Airline Dr Ste 700
Bossier City, LA 71111-3398
Phone (318) 681-6826

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180323000296 TX Practitioner - Nurse Practitioner 0143582536 Reassigns benefits to 3 organizations
I20230314001384 LA Practitioner - Nurse Practitioner 0143582536 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mother Frances Hospital Regional Health Care Center CurrentSince Apr 24, 2023 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Apr 24, 2023 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Apr 24, 2023 Accepting new patients
Unique Passionate Healthcare PLLC Secured Medical Transport (Van) CurrentSince Apr 15, 2022 Accepting new patients
Topcare Medical PA PastSince Apr 2, 2012 Accepting new patients

Locations

2151 Airline Dr
Ste 700
Bossier City, LA 71111
Phone (318) 550-2176

9300 Mansfield Rd
Ste 110
Shreveport, LA 71118
Phone (318) 629-3763

7045 Youree Dr
Shreveport, LA 71105
Phone (318) 681-6890

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

306 E Randol Mill Rd
Ste 700
Arlington, TX 76011
Phone (469) 320-1947

4046 Dowlen Rd
Ste A
Beaumont, TX 77706
Phone (409) 225-5924

5638 Saratoga Blvd
Ste 114
Corpus Christi, TX 78414
Phone (210) 598-1517

539 W Commerce St
Dallas, TX 75208
Phone (385) 377-9352

11823 Culebra Rd
Ste 105
San Antonio, TX 78253
Phone (210) 598-1517

1320 Wonder World Dr
Ste 101
San Marcos, TX 78666
Phone (512) 392-1700

1339 S Broadway St
Sulphur Springs, TX 75482
Phone (903) 951-1000

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: cbolden312152@christushealth.direct-ci.net
  • FHIR API: https://api.platform.athenahealth.com/26377/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728691200000",
    "number": "1235644451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 E RANDOL MILL RD STE 700",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760111410",
            "telephone_number": "469-252-7088",
            "fax_number": "469-320-1947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 E RANDOL MILL RD STE 700",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760111410",
            "telephone_number": "469-252-7088",
            "fax_number": "469-320-1947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9300 Mansfield Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711183137",
            "country_code": "US",
            "telephone_number": "318-681-6795",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1320 Wonder World Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "TX",
            "postal_code": "786667558",
            "country_code": "US",
            "telephone_number": "512-353-6400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4046 Dowlen Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777066849",
            "country_code": "US",
            "telephone_number": "409-225-5924",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11823 Culebra Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782534563",
            "country_code": "US",
            "telephone_number": "210-598-1517",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5638 Saratoga Blvd Ste 114",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784144134",
            "country_code": "US",
            "telephone_number": "361-444-5280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1339 S Broadway St",
            "address_purpose": "LOCATION",
            "city": "Sulphur Springs",
            "state": "TX",
            "postal_code": "754824895",
            "country_code": "US",
            "telephone_number": "888-335-7111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7045 Youree Dr",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711055108",
            "country_code": "US",
            "telephone_number": "318-681-6890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2151 Airline Dr Ste 700",
            "address_purpose": "LOCATION",
            "city": "Bossier City",
            "state": "LA",
            "postal_code": "711113398",
            "country_code": "US",
            "telephone_number": "318-681-6826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLDEN",
        "first_name": "CHRISTA",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-11",
        "last_updated": "2024-10-12",
        "certification_date": "2024-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP135795",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP135795",
            "primary": true
        },
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.