Amy Bolden, RN

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

819101 Issued in TX

Practice address

412 Jean St
San Antonio, TX 78207-6923

Phone

(210) 313-8147

NPI assigned

Apr 5, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1972036028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 JEAN ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782076923",
            "telephone_number": "210-313-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 JEAN ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782076923",
            "telephone_number": "210-313-8147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLDEN",
        "first_name": "AMY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-05",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "TX",
            "license": "819101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leyla Bojanini Molina, M.D.
• Gabrielle Diandra Bojorquez, LMSW
• Sismai Bojorquez
• Bonita Olivia Bolado
• Jolinda Bolanda, CNIM
• Gwendolyn Bolden
• Johnnetta Bolden, RBT
• Tayla Bolden
• Trina Bolden, LPC, LCDC
• James Bolding

• All providers in San Antonio, TX
• Critical Care Medicine Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.