Szandra Barbara Boleska, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

NDP-2023-0005 Issued in NM

Practice address

201 Cedar St SE
Albuquerque, NM 87106-4917

Phone

(505) 563-6530

NPI assigned

Jul 26, 2023

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

Other names 1

• Szandra Ruggles Former name

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Presbyterian Healthcare Services

  • Internal Medicine Physician
  • Albuquerque, NM
  • NPI 1104802354

  NM

  Medicare reassignment NPD
• Nutrition With Szandra, LLC

  • Registered Dietitian
  • Albuquerque, NM
  • NPI 1770334310

  Dietitian, Registered

  NPD Authorized official
• Presbyterian Healthcare Services

  • General Acute Care Hospital
  • Albuquerque, NM
  • NPI 1215913470
  NPD
• Presbyterian Healthcare Services

  • Rural Acute Care Hospital
  • Espanola, NM
  • NPI 1154307593
  NPD (past)

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1699456491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11412 MALAGUENA LN NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871116898",
            "telephone_number": "757-775-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CEDAR ST SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064917",
            "telephone_number": "505-563-6530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11412 Malaguena Ln NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871116898",
            "country_code": "US",
            "telephone_number": "757-775-1517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLESKA",
        "first_name": "SZANDRA",
        "middle_name": "BARBARA",
        "credential": "RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-26",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NM",
            "license": "NDP-2023-0005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SZANDRA",
            "last_name": "RUGGLES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Susanne Marie Bolden
• Brian Bolding, LMHC
• Teresa Bolents, B.S.
• Beatrice H Boles, LISW
• Gail Holger Boles, R.PH.
• Mary Elizabeth Bolin
• Christine Boling, PT
• Ahmed A Bolkhir, MD
• Samantha Jeanette Bollar
• Catherine Boller, LCSW

• All providers in Albuquerque, NM
• Registered Dietitian in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.