Active NPI
Darlene Boldon, CNA
- Nurse's Aide
- Austin, TX
National Provider Identifier
1457759185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- NA10082522
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 35453989 | TX | MD | Driver |
| 37814 | IA | MD | Community Health Worker |
| 355674014 | IA | MD | Nurse's Aide |
| NA10082522 | TX | MD | Nurse'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.