NUKUNU BOLEY (NPI# 1659688521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659688521 |
| Entity Type | Individual |
| Full Name | NUKUNU BOLEY |
| Credential | RN |
| Practice Address |
835 County Road B W Roseville MN 55113-4531 |
| Mailing Address |
5775 Wayzata Blvd Suite 700 St Louis Park MN 55416-1222 |
| Practice Telephone | 6127080910 |
| Mailing Telephone | 6127996508 |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2010-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | R1827431 | MN | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | CLASS A PROFESSIONAL HOME HEALTH CARE AGENCY | 348032 | 01 |
| Street Address |
835 COUNTY ROAD B W |
| City | ROSEVILLE |
| State | MN |
| Zip Code | 55113-4531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396384376 | Zachary Mattson | Physician Assistant | Regus Coworking Space 2355 Highway 36 West, Suite 400, Office #427, Roseville, MN 55113 | 2019-12-23 |
| 1467010330 | Ahmed Issa | Student in an Organized Health Care Education/Training Program | 1550 Larpenteur Ave W, Apt 235, St Paul, MN 55113 | 2019-06-05 |
| 1821653833 | Suite Living Senior Care of Little Canada | Assisted Living Facility | 2740 Rice Street, Little Canada, MN 55113 | 2019-05-06 |
| 1902370505 | Diverse Assessments and Treatment, LLC | Psychologist | 1935 Cty Rd B2 W Ste 270, Roseville, MN 55113 | 2019-01-16 |
| 1588138473 | Applewood Home Health Care, LLC | Home Health | 2021 E Hennepin Avenue # 402-1, Minneapolis, MN 55113 | 2019-01-14 |
| 1699251520 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2685 Patton Rd, Roseville, MN 55113 | 2018-07-13 |
| 1083104145 | Suite Living Senior Care of Roseville | Assisted Living Facility | 197 County Road B2 W, Roseville, MN 55113 | 2018-05-15 |
| 1477055796 | Sunrise Residential Services LLC | Home Health | 216 Maple Ln, Roseville, MN 55113 | 2018-03-02 |
| 1194223024 | Alissa Hoff | Specialist | 1595 Mn 36 - 584 10 Rosedale Center, Roseville, MN 55113 | 2018-01-25 |
| 1841705118 | Kingsland Care Services Incorporated | Case Management | 2301 Rice Street, Suite 101, Roseville, MN 55113 | 2017-12-08 |
| Find all providers in zip 55113 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275179871 | Stephanie Neiva | Registered Nurse | 729 Sunrise Ave Ste 604, Roseville, CA 95661-4542 | 2019-11-19 |
| 1316423429 | Lawrence Joseph Hinahon | Registered Nurse | 6009 Garland Way, Roseville, CA 95747-8994 | 2018-07-12 |
| 1033603238 | Wendell Ranit Escartin | Registered Nurse | 7177 Greenford Way, Roseville, CA 95747-8773 | 2018-06-20 |
| 1679085518 | Patricia Lynn Durborough | Registered Nurse | 1637 Quails Nest St, Roseville, CA 95747-4633 | 2017-11-01 |
| 1205289337 | Ruben Yu | Registered Nurse | 2440 Professional Dr, Roseville, CA 95661-7773 | 2016-07-13 |
| 1558732628 | David Kolman | Registered Nurse | 30906 Ferntree St, Roseville, MI 48066-4014 | 2015-10-14 |
| 1659797264 | Linda Johnson | Registered Nurse | 30687 Hidden Pines Ln, Roseville, MI 48066-7303 | 2014-03-07 |
| 1780924217 | Krystal Jo Etters | Registered Nurse | 4690 Butler Rd, Roseville, OH 43777-9719 | 2013-02-20 |
| 1184983603 | Maureen Kirimi Ndegwa | Registered Nurse | 2800 Hamline Ave N, #347, Roseville, MN 55113-7123 | 2012-05-04 |
| 1700145158 | Decimah Mutende Sidori | Registered Nurse | 7950 Foothills Blvd, Suite 170, Roseville, CA 95747-6545 | 2012-05-04 |
| Find all providers in ROSEVILLE | ||||
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| 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.