MARY LYNN LEY BOLDEN (NPI# 1518430818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518430818 |
| Entity Type | Individual |
| Full Name | MARY LYNN LEY BOLDEN |
| Practice Address |
4464 S Dixie Hwy Middletown OH 45005-5464 |
| Practice Telephone | 5136498008 |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2019-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN.237267 | OH | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0074946 | 05 |
| Street Address |
4464 S DIXIE HWY |
| City | MIDDLETOWN |
| State | OH |
| Zip Code | 45005-5464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679526321 | Brandy J Slavens | Counselor | 4464 S Dixie Hwy, Middletown, OH 45005-5464 | 2006-05-17 |
| 1811598964 | Jamie Kleiner | Counselor | 4464 S Dixie Hwy, Middletown, OH 45005-5464 | 2020-11-05 |
| 1750989562 | Betsy Singer-lefton | Counselor | 4464 S Dixie Hwy, Middletown, OH 45005-5464 | 2020-10-14 |
| 1932707742 | David Jablonka | Counselor | 4464 S Dixie Hwy, Middletown, OH 45005-5464 | 2020-10-14 |
| 1457968877 | Samantha Rowe | Counselor | 4464 S Dixie Hwy, Middletown, OH 45005-5464 | 2020-09-29 |
| 1356956353 | Elizabeth Bremenkamp | Social Worker | 4464 S Dixie Hwy, Middletown, OH 45005-5464 | 2020-09-15 |
| 1659986446 | Jillian Feazel | Counselor | 4464 S Dixie Hwy, Middletown, OH 45005-5464 | 2020-09-09 |
| 1487265641 | Katelyn Atkinson | Counselor | 4464 S Dixie Hwy, Middletown, OH 45005-5464 | 2020-08-12 |
| 1457979437 | Paige Stafford | Counselor | 4464 S Dixie Hwy, Middletown, OH 45005-5464 | 2020-07-07 |
| 1801418488 | Shannon Gill | Case Manager/Care Coordinator | 4464 S Dixie Hwy, Middletown, OH 45005-5464 | 2020-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053835058 | Cei Physicians P.s.c., LLC | Clinic/Center | 5950 Innovation Dr, Franklin, OH 45005 | 2017-08-01 |
| 1356703367 | Shawnta Wagner-jenkins | Nurse Practitioner | 3240 Towne Blvd, Middletown, OH 45005 | 2016-03-28 |
| 1801279781 | Latania Thomas | Social Worker | 3481 S Dixie Hwy 162, Franklin, OH 45005 | 2015-07-09 |
| 1285026088 | Expert Hearing Clinic, LLC | Hearing Aid Equipment | 8401 Claude Thomas Rd Suite 27, Franklin, OH 45005 | 2015-03-03 |
| 1689062440 | Emergency Medicine Specialists, Inc. | Emergency Medicine | 100 Kettering Way, Franklin, OH 45005 | 2015-01-02 |
| 1972907186 | Talbert House Health Center | Clinic/Center | 333 Conover Dr Ste D, Franklin, OH 45005 | 2014-10-17 |
| 1427347194 | Savio M Kumar | Internal Medicine | 200 Medical Center Dr Ste 360, Middletown, OH 45005 | 2011-04-04 |
| 1467782169 | Darcy Joann Thompson | Licensed Practical Nurse | 139 Boulder Dr., Franklin, OH 45005 | 2010-01-04 |
| 1912132028 | John F Waters | Nurse Practitioner | 8401 Claude Thomas Rd Ste 21d, Franklin, OH 45005 | 2009-05-18 |
| 1528201688 | Amy Michelle Renshaw | Obstetrics & Gynecology | 200 Medical Center Dr Ste 200, Middletown, OH 45005 | 2009-04-19 |
| Find all providers in zip 45005 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538790050 | Patrycja Olechniej | Registered Nurse | 90 S Main St Ste 202, Middletown, CT 06457-3649 | 2020-02-03 |
| 1912425968 | Gail Demarco | Registered Nurse | 127 Johnnycake Hill Road, Middletown, RI 02842 | 2017-08-30 |
| 1104187954 | Irene Mankasibe Fuh | Registered Nurse | 210 Ann Dr Apt 304, Middletown, DE 19709-2606 | 2012-06-07 |
| 1316005002 | Melissa J Renner | Registered Nurse | 1045 Summitt Sq, Middletown, OH 45042-3464 | 2006-12-05 |
| 1043836521 | Janice Ann Bernstein | Registered Nurse | 127 Johnny Cake Hill Rd, Middletown, RI 02842-5674 | 2020-06-22 |
| 1578189049 | Korie Lynn Medeiros | Registered Nurse | 127 Johnny Cake Hill Rd, Middletown, RI 02842-5674 | 2020-06-22 |
| 1497381248 | Bernice Ertrachter | Registered Nurse | 15 Fortune Rd W, Middletown, NY 10941-1625 | 2020-03-12 |
| 1760016679 | Jenna Harris | Registered Nurse | 15 Fortune Rd W, Middletown, NY 10941-1625 | 2020-02-29 |
| 1841830080 | Elizabeth Marjorie Gould-ruitto | Registered Nurse | 33 Pleasant St, Middletown, CT 06457-3641 | 2020-01-15 |
| 1336788207 | Diane M Bernier | Registered Nurse | 33 Pleasant St, Middletown, CT 06457-3641 | 2019-12-24 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 45005 |
Please comment or provide details below to improve the information on MARY LYNN LEY BOLDEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.