Jamie Bolden, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1058717 Issued in TX

Practice address

9115 FM 723 Rd
Richmond, TX 77406-9234

Phone

(937) 830-1948

NPI assigned

Nov 15, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• City of Houston

  • State or Local Public Health Clinic/Center
  • Houston, TX
  • NPI 1538294541

  Nurse Practitioner

  Medicare reassignment NPD
• Your Care Down There: an Online STD Clinic

  • Family Nurse Practitioner
  • Richmond, TX
  • NPI 1851176887
  NPD Authorized official
• City of Houston

  • Registered Dietitian
  • Houston, TX
  • NPI 1780276469
  NPD

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

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687564800000",
    "number": "1457017204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9115 FM 723 RD STE 550",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774069238",
            "telephone_number": "937-830-1948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9115 FM 723 RD",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774069234",
            "telephone_number": "937-830-1948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLDEN",
        "first_name": "JAMIE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-15",
        "last_updated": "2023-06-24",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "AC005537",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "500009897",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1058717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Sky World Health Services LLC
• Bluebonnet Assisted Living, LLC
• Blvd Dentistry Richmond PLLC
• Sophia Esi Boateng, FNP-C
• Hillary Anne Bodron, OTR
• Gwendoline Keri Bongkishiy
• Boniswa Portia Maduna
• Tyra Bonner
• Michael A Booth, DC, DACBN, CCN
• Ryan Borinaga, COTA

• Family Nurse Practitioner in Richmond, TX
• Providers in Richmond, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.