Individual provider Active NPI

Judith Bolin, CRNP

  • Family Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1831177898
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
064148 Issued in TN
Practice address
2 International Drive Suite 602
NP Care of Tennessee LLC
Nashville, TN 37217
Phone
(615) 366-1264
Fax
(615) 361-8632
NPI assigned
Jan 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 064148 TN Primary

Addresses

Primary practice location

2 International Drive Suite 602
NP Care of Tennessee LLC
Nashville, TN 37217

Mailing address

2651 Pretty Creek Rd
Nunnelly, TN 37137-2911
Phone (931) 729-1656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
064148TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NP Care of Tennessee, LLC Past Accepting new patients
Physician Services of Middle Tennessee, LLC Past Accepting new patients
Patient Care LLC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1831177898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2651 PRETTY CREEK RD",
            "city": "NUNNELLY",
            "state": "TN",
            "postal_code": "371372911",
            "telephone_number": "931-729-1656",
            "fax_number": "931-729-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 INTERNATIONAL DRIVE SUITE 602",
            "address_2": "NP CARE OF TENNESSEE LLC",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37217",
            "telephone_number": "615-366-1264",
            "fax_number": "615-361-8632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLIN",
        "first_name": "JUDITH",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-09",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "064148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.