Individual provider Active NPI

Britni Bolstad, DNP, MN, RN, PHN

  • Gerontology Registered Nurse
  • Atlanta, GA
National Provider Identifier
1922763499
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Registered NurseTaxonomy code 163WG0600X
License
2185800 Issued in MN
Practice address
675 Ponce de Leon Ave NE Unit W731
Atlanta, GA 30308-1898
Phone
(952) 237-8386
NPI assigned
Nov 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Registered Nurse 163WG0600X 2185800 MN Primary

Addresses

Primary practice location

675 Ponce de Leon Ave NE Unit W731
Atlanta, GA 30308-1898

Mailing address

675 Ponce de Leon Ave NE Unit W731
Atlanta, GA 30308-1898
Phone (952) 237-8386

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL wellbe.com

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
2185800MNMDGerontology Registered Nurse

Interoperability endpoints

  • Direct secure messaging: britni.bolstad@wellbe.gadirect.net

NPI Registry JSON

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1922763499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 PONCE DE LEON AVE NE UNIT W731",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081898",
            "telephone_number": "952-237-8386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 PONCE DE LEON AVE NE UNIT W731",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081898",
            "telephone_number": "952-237-8386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLSTAD",
        "first_name": "BRITNI",
        "credential": "DNP, MN, RN, PHN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "MN",
            "license": "2185800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "wellbe.com",
            "affiliation": "N",
            "address_1": "20 W Kinzie St Ste 17",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606546393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.