Heather Nicole Bolden, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN175548 Issued in GA

Practice address

6600 Van Aalst Blvd
Martin Army Community Hospital-DPH
Fort Benning, GA 31905

Phone

(762) 408-1418

Fax

(762) 408-8156

NPI assigned

Oct 7, 2011

Last updated

Oct 24, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1659655629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 VAN AALST BLVD",
            "city": "FORT BENNING",
            "state": "GA",
            "postal_code": "319052102",
            "telephone_number": "762-408-1418",
            "fax_number": "762-408-8156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 VAN AALST BLVD",
            "address_2": "MARTIN ARMY COMMUNITY HOSPITAL-DPH",
            "city": "FORT BENNING",
            "state": "GA",
            "postal_code": "31905",
            "telephone_number": "762-408-1418",
            "fax_number": "762-408-8156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLDEN",
        "first_name": "HEATHER",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-07",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN175548",
            "primary": true
        },
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "GA",
            "license": "RN175548",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY OF  NURSE PRACTITIONERS CERTIFICATION PROGRAM",
            "identifier": "F0911414",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ivette Blanco-Padilla, D.M.D.
• Mitchell B. Blocker, LMHC, CAP, NCC
• Sally J Blunier, L.P.T.A.
• Conrad Frank Bodai, DDS
• Trevor A Boddington, PT
• Whitney Boland Bond, MD, MPH
• Jarrett Evan Borer, DPT
• Cattleya Marie Born, RNC
• Sarah Grace Bornstein
• Michael Anthony Borsuk, DO

• Family Nurse Practitioner in Fort Benning, GA
• Providers in Fort Benning, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.