Katelyn Boldon, N.P

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

17927 Issued in OH

Practice address

4432 Swenson St
Hilliard, OH 43026-3804

Phone

(937) 243-7857

NPI assigned

Jun 19, 2015

Last updated

Aug 6, 2015By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

OhioguidestoneGroup PAC ID 5597910935, 60 clinicians

New Horizons Mental Health Services IncGroup PAC ID 5597799262, 15 clinicians

Practice addresses (Care Compare)

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

• New Horizons Mental Health Services, Inc.

  dba Pickerington Area Counseling Service

  • Mental Health Counselor
  • Lancaster, OH
  • NPI 1174576680
  Medicare reassignment Care Compare group NPD
• Ohioguidestone

  • Developmental - Behavioral Pediatrics Physician
  • Berea, OH
  • NPI 1609123728
  Medicare reassignment Care Compare group
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• New Horizons Mental Health Services, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Lancaster, OH
  • NPI 1720514946
  NPD (past)

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438819200000",
    "number": "1790167419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4432 SWENSON ST",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430263804",
            "telephone_number": "937-243-7857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4432 SWENSON ST",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430263804",
            "telephone_number": "937-243-7857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLDON",
        "first_name": "KATELYN",
        "credential": "N.P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-19",
        "last_updated": "2015-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "17927",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "400921",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annette Marie Blust, APRN
• Heidi Jean Bobek, CNP
• Jason Boeke, PHARM.D.
• Angela Boger, MT
• Amy M Boland, PH.D.
• Rita Danielle Vento Bole, RDN, LDN
• Samantha Leigh Bollinger, PHARMD
• Christine Bowen, CDCA
• Brianne Bowers, DO
• Cami Bowman, RN

• Psychiatric/Mental Health Nurse Practitioner in Hilliard, OH
• Providers in Hilliard, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; 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.