JENNIFER BOLDEN (NPI# 1154679389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154679389 |
| Entity Type | Individual |
| Full Name | JENNIFER BOLDEN |
| Credential | LMT |
| Practice Address |
840 N Oak Ave Ruleville MS 38771-3227 |
| Practice Telephone | 6627561800 |
| Mailing Telephone | 6627561800 |
| Enumeration Date | 2012-08-20 |
| Last Update Date | 2012-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | LMT2007 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346705506 | Jennifer Bolden | Psychologist | 5217 Brig Ln, Knoxville, TN 37914-2824 | 2019-02-01 |
| Street Address |
840 N OAK AVE |
| City | RULEVILLE |
| State | MS |
| Zip Code | 38771-3227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699717249 | Samuel Dean Seeley | Nurse Practitioner | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2006-06-11 |
| 1023627122 | Kristen Cassidy Scott | Nurse Practitioner | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2020-07-24 |
| 1487271201 | Lajarvis Antwon Lewis | Nurse Practitioner | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2020-06-26 |
| 1184275133 | Kathryn Meredith James | Nurse Practitioner | 840 N Oak Ave, Ruleville, MS 38771 | 2019-09-21 |
| 1629627542 | Hannah Schlatter Farmer | Nurse Practitioner | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2019-09-04 |
| 1386203354 | Robert F Cox | Nurse Practitioner | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2019-06-12 |
| 1861058901 | Jane Critz Long | Dietitian, Registered | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2019-05-14 |
| 1396208708 | Ambroshia Hope | Registered Nurse | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2019-04-11 |
| 1013489756 | Cody Elizabeth Field | Nurse Practitioner | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2018-12-19 |
| 1649765223 | Nikita Marie Calvin | Nurse Practitioner | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2018-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881001501 | North Sunflower Medical Center | Pharmacy | 860 N Oak Ave, Ruleville, MS 38771 | 2014-07-15 |
| 1548581184 | North Sunflower Medical Center | Clinic/Center | 101 Floyce St., Ruleville, MS 38771 | 2010-06-17 |
| 1649442484 | Brooks Marlow Rizzo | Nurse Practitioner | 840a N. Oak Ave., Ruleville, MS 38771 | 2008-04-01 |
| 1427189570 | St. Johns Hospice of Mississippi, Inc. | Hospice, Inpatient | 106 Ruby Avenue, Ruleville, MS 38771 | 2007-03-08 |
| 1962444018 | Sandanna Hospice, Inc. | Hospice Care, Community Based | 105 Floyce Street, Ruleville, MS 38771-0365 | 2006-06-12 |
| 1376612895 | North Sunflower Medical Center | Durable Medical Equipment & Medical Supplies | 820 N Oak Ave, Ruleville, MS 38771-3215 | 2006-11-07 |
| 1548710510 | North Sunflower Medical Center | Clinic/Center | 860 N Oak Ave, Ruleville, MS 38771-3227 | 2016-10-13 |
| 1255405205 | Ruleville Nursing and Rehabiliation Center, LLC | Skilled Nursing Facility | 800 Stansel Dr, Ruleville, MS 38771-3320 | 2006-11-20 |
| 1003280702 | Leah Cori Gregory-johnson | Speech-Language Pathologist | 800 Stansel Dr, Ruleville, MS 38771-3320 | 2015-11-18 |
| 1124498340 | Tajda Cooper | Occupational Therapist | 800 Stansel Dr, Ruleville, MS 38771-3320 | 2015-09-30 |
| Find all providers in zip 38771 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033728639 | Latoya R Thompson | Massage Therapist | 119 S Madison St, Kosciusko, MS 39090-3628 | 2020-07-29 |
| 1477174928 | Tina Whitehead | Massage Therapist | 518 Hwy 12 W, Starkville, MS 39759 | 2020-05-06 |
| 1275154338 | Crystal Edwards | Massage Therapist | 2718 Medgar Evers Blvd, Jackson, MS 39213-7257 | 2020-04-30 |
| 1265063135 | Georgene Ferrie | Massage Therapist | 1612 Main St., Fayette, MS 39069 | 2020-01-30 |
| 1578103735 | Sandra Suggs | Massage Therapist | 2621 W Oxford Loop Ste C, Oxford, MS 38655-5442 | 2020-01-15 |
| 1881236479 | Donna Summers | Massage Therapist | 761 Woodlake Dr, Jackson, MS 39206-2219 | 2019-10-15 |
| 1538715305 | Charles Louis Wilson | Massage Therapist | 2900 Government St Ste A, Ocean Springs, MS 39564-5647 | 2019-08-16 |
| 1619531084 | Derek Cumberland | Massage Therapist | 505 Oakleigh Pl, Brandon, MS 39047-6297 | 2019-04-30 |
| 1710461223 | Lamonica P Starks | Massage Therapist | 118 Weisenberger Rd Ste 200, Madison, MS 39110-5012 | 2018-09-20 |
| 1497295117 | Eletha Walker | Massage Therapist | 215 Walker Smith Rd, Florence, MS 39073 | 2017-02-28 |
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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.