Roanoke TMS

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

ROANOKE TMS

Practice address

4806 Pleasant Hill Dr Ste 102B
Roanoke, VA 24018-3440

Phone

(540) 769-7837

NPI assigned

Jan 14, 2021

Organization subpart

No

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

Authorized official

Name

Michie Armell Bolden, NURSE PRACTITIONER

Title

Owner

Phone

(540) 769-7837

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610582400000",
    "number": "1306435334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4806 PLEASANT HILL DR STE 102B",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183440",
            "telephone_number": "540-769-7837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4806 PLEASANT HILL DR STE 102B",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183440",
            "telephone_number": "540-769-7837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROANOKE TMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A",
        "authorized_official_last_name": "BOLDEN",
        "authorized_official_first_name": "MICHIE",
        "authorized_official_middle_name": "ARMELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-769-7837",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.