Rebel Ann Bolden, CST, CSFA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

163077 Issued in TX

Practice address

4215 Joe Ramsey Blvd E
Greenville, TX 75401-7852

Phone

(903) 408-5000

NPI assigned

Nov 2, 2015

Last updated

Feb 7, 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 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": "1446422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1780057539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 BROKEN ARROW PASS",
            "city": "QUINLAN",
            "state": "TX",
            "postal_code": "754746402",
            "telephone_number": "469-891-7304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 JOE RAMSEY BLVD E",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754017852",
            "telephone_number": "903-408-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLDEN",
        "first_name": "REBEL",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "CST, CSFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-02",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "163077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bio-Medical Applications of Texas, Inc. (Fresenius Kidney Care Hunt County Dialysis Center)
• Melinda Bird, BCBA
• Jaszmon Menderiz Blake, CSFA
• Joseph Tracy Bleier, MD
• Jessica Faye Bohannon, PMHNP-BC
• Amanda Sue Bolton, PHARMD
• Melanie Amber Book, PT
• Borelli Inpatient Services
• Pamela Kay Borowsky, LVN
• Isabella Sonora Bortolussi-Mays, DO

• Surgical Assistant in Greenville, TX
• Providers in Greenville, TX by specialty
• Surgical Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.