India Lucille Boles, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.0028383 Issued in OH

Practice address

701 E Central Ave
Toledo, OH 43608-2073

Phone

(567) 343-6890

NPI assigned

Dec 31, 2020

Last updated

Feb 2, 2024By 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

Other names 1

• India Lucille Campbell Former name

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: india.boles.p1@direct.whc.nextgenshare.com
• Direct secure messaging: india.campbell@hpwo.directbygreenway.com

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.

• Emergency Department Consultants, Inc

  • Emergency Medicine Physician
  • Toledo, OH
  • NPI 1588617336
  Medicare reassignment NPD
• Health Partners of Western Ohio

  dba Old West End Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Toledo, OH
  • NPI 1760952741
  Medicare reassignment NPD
• Health Partners of Western Ohio

  dba Springfield Health Center

  • Federally Qualified Health Center (FQHC)
  • Holland, OH
  • NPI 1396605481
  NPD
• Health Partners of Western Ohio

  dba Riverside Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Toledo, OH
  • NPI 1770053647
  NPD
• Health Partners of Western Ohio

  dba Woodward Health Center

  • Federally Qualified Health Center (FQHC)
  • Toledo, OH
  • NPI 1043982473
  NPD (past)
• Health Partners of Western Ohio

  dba Dr. Gene Wright Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Lima, OH
  • NPI 1811932288
  NPD (past)
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1609372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1932796356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 N WEST ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014331",
            "telephone_number": "419-221-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E CENTRAL AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436082073",
            "telephone_number": "567-343-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLES",
        "first_name": "INDIA",
        "middle_name": "LUCILLE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-31",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0028383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "INDIA",
            "last_name": "CAMPBELL",
            "middle_name": "LUCILLE",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Keith Cameron Bolden
• Lateya L Bolden
• Yolanda Bolden
• Asia Bolds-Hanns
• Debbie Bolduc, PTA
• Kevin M Boley
• Patrick Bolger, A.A.
• McKenna Grace Boling, BA, CT
• Jodi L Bollenbacher, PA
• Alicia Bollin, CNP

• Family Nurse Practitioner in Toledo, OH
• Providers in Toledo, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.