Shawn Margaret Bolender, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN3055702 Issued in FL

Practice address

2012 Plantation Oaks Dr
Navarre, FL 32566-3004

Phone

(850) 939-0215

Fax

(850) 939-6089

NPI assigned

Aug 20, 2007

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187568000000",
    "number": "1679766190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 PLANTATION OAKS DR",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325663004",
            "telephone_number": "850-939-0215",
            "fax_number": "850-939-6089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 PLANTATION OAKS DR",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325663004",
            "telephone_number": "850-939-0215",
            "fax_number": "850-939-6089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLENDER",
        "first_name": "SHAWN",
        "middle_name": "MARGARET",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN3055702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittney Bittner
• Shirley Blanco, NP-C
• Mandy Marie Blankenship, APRN, PMHNP-BC
• Terry D Blankenship, CRNA
• Michael Blocker
• Noelle Bombard
• Bonnie B Butcher LLC
• Christina Leigh Booth
• Emmalyse Bordignon
• Bowling Green Inn of Pensacola, LLC (Twelve Oaks)

• Registered Nurse in Navarre, FL
• Providers in Navarre, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; 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.