Individual provider Active NPI

Darlene Boldon, CNA

  • Nurse's Aide
  • Austin, TX
National Provider Identifier
1457759185
Registry record updated Dec 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
NA10082522 Issued in TX
Practice address
12435 Dessau Rd
Apt 1121
Austin, TX 78754-1980
Phone
(512) 905-6083
NPI assigned
Dec 11, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 37814 IA
Nurse's Aide 376K00000X NA10082522 TX Primary
Nurse's Aide 376K00000X 355674014 IA
Driver 172A00000X 35453989 TX

Addresses

Primary practice location

12435 Dessau Rd
Apt 1121
Austin, TX 78754-1980

Mailing address

12435 Dessau Rd
Apt 1121
Austin, TX 78754-1980
Phone (512) 905-6083

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
35453989TXMDDriver
37814IAMDCommunity Health Worker
355674014IAMDNurse's Aide
NA10082522TXMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1418256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418342400000",
    "number": "1457759185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12435 DESSAU RD",
            "address_2": "APT 1121",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787541980",
            "telephone_number": "512-905-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12435 DESSAU RD",
            "address_2": "APT 1121",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787541980",
            "telephone_number": "512-905-6083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLDON",
        "first_name": "DARLENE",
        "name_prefix": "Ms.",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-11",
        "last_updated": "2014-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "IA",
            "license": "37814",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "TX",
            "license": "NA10082522",
            "primary": true
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "IA",
            "license": "355674014",
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "TX",
            "license": "35453989",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; 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.