Michie Armell Bolden, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0024174314 Issued in VA

Practice address

3025 Peters Creek Rd NW Ste B
Roanoke, VA 24019-2760

Phone

(678) 900-0308

NPI assigned

Dec 8, 2016

Last updated

Jan 27, 2020By the provider in NPPES

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

Enrolled in VA

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Renew Psychiatry ServicesGroup PAC ID 2769715879, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Renew Psychiatry Services

  • Psychiatry Physician
  • Salem, VA
  • NPI 1134607898
  Medicare reassignment Care Compare group NPD Authorized official
• Eventus Premier Healthcare LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Midlothian, VA
  • NPI 1437998309

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Premier Geriatric Solutions PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Roanoke, VA
  • NPI 1568093672
  Medicare reassignment NPD
• Premier Psychiatric Solutions PLLC

  • Psychiatry Physician
  • Roanoke, VA
  • NPI 1053000430
  Medicare reassignment NPD
• Cognitive Care Connect, PLLC

  • Adult Mental Health Clinic/Center
  • Salem, VA
  • NPI 1386311272
  Authorized official Same address or phone

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

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1659815736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5715 GLEN HAVEN DR",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240194064",
            "telephone_number": "678-900-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 PETERS CREEK RD NW STE B",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240192760",
            "telephone_number": "678-900-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLDEN",
        "first_name": "MICHIE",
        "middle_name": "ARMELL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-08",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024174314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Boggs
• Tammy Marie Boggs, LPN
• Robert Mark Boguski, DPM
• Angela Bolden, PH.D.
• Latonya Bolden Bolden, LCSW
• Dana Parker Bolding, M.S. CF-SLP
• Joyce P Bolender, LCSW
• Elia Boles
• Cynthia L Bolling, OTR
• Kimberly Ann Bolling, RN

• Psychiatric/Mental Health Nurse Practitioner in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.