Alyssa Boldin, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

35556 Issued in TN

Practice address

239 N 12TH St
Middlesboro, KY 40965-1029

Phone

(606) 619-3060

NPI assigned

Jan 23, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Well-Key Health, PLLC

  • Urgent Care Clinic/Center
  • Sevierville, TN
  • NPI 1114234382
  Medicare reassignment NPD

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1750143012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 N 12TH ST",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409651029",
            "telephone_number": "606-619-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 N 12TH ST",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409651029",
            "telephone_number": "606-619-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLDIN",
        "first_name": "ALYSSA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-23",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4054949",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "35556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beacon of Light Family Chiropractic, PLLC
• Bell Emergency Group, LLC
• Blue Mountain Medical Clinic, PLLC
• Bluegrass Adult Care, LLC
• Charles Bruce Boggs II, PHARM.D.
• Holly Renee Booth, O.D.
• Joseph McKinley Boster, D.M.D.
• Bowkirk Medical
• Taylor Bowling, OT
• Bright Future Primary Care

• Family Nurse Practitioner in Middlesboro, KY
• Providers in Middlesboro, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.