Fondra Jeanne Bolen

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

5625 N 28TH Ave
Omaha, NE 68111-1765

Phone

(531) 299-1820

NPI assigned

Jan 17, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1737072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1548071673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5625 N 28TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681111765",
            "telephone_number": "531-299-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 N 28TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681111765",
            "telephone_number": "531-299-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLEN",
        "first_name": "FONDRA",
        "middle_name": "JEANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynette Bolden
• Jared D Bolding, D.D.S.
• Amanda A Boldt
• Kristina Marie Boldt, RN, BSN, PMHNP-S
• Paige Boldt, T-LMHC
• Lauren E Boler
• Julie Boll
• Lauren Boll, RN
• Jessica Bollig, RDN
• Mariha Kay Bollig

• Personal Care Attendant in Omaha, NE
• Providers in Omaha, NE by specialty
• Personal Care Attendant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; 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.