Individual provider Active NPI

Wendy Lee Bolling, RN

  • Hospice Registered Nurse
  • Neligh, NE
National Provider Identifier
1902334741
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice Registered NurseTaxonomy code 163WH1000X
License
80574 Issued in NE
Practice address
1100 T St
Neligh, NE 68756-1027
Phone
(402) 887-5428
NPI assigned
May 24, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice Registered Nurse 163WH1000X 80574 NE Primary

Addresses

Primary practice location

1100 T St
Neligh, NE 68756-1027

Mailing address

611 E 1St St
Neligh, NE 68756-1621
Phone (402) 929-3178

Other practice location 1

2000 W Park Ave
Norfolk, NE 68701-4701
Phone (402) 379-4824

Other practice location 2

421 E Douglas St
ONeill, NE 68763-1851
Phone (402) 336-3988

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
80574NEMDHospice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice Preferred Choice, Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1902334741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 E 1ST ST",
            "city": "NELIGH",
            "state": "NE",
            "postal_code": "687561621",
            "telephone_number": "402-929-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 T ST",
            "city": "NELIGH",
            "state": "NE",
            "postal_code": "687561027",
            "telephone_number": "402-887-5428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 W Park Ave",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "NE",
            "postal_code": "687014701",
            "country_code": "US",
            "telephone_number": "402-379-4824",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "421 E Douglas St",
            "address_purpose": "LOCATION",
            "city": "ONeill",
            "state": "NE",
            "postal_code": "687631851",
            "country_code": "US",
            "telephone_number": "402-336-3988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLLING",
        "first_name": "WENDY",
        "middle_name": "LEE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "NE",
            "license": "80574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neligh, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.