KAREN M BOLDERMAN (NPI# 1225415615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225415615 |
| Entity Type | Individual |
| Full Name | KAREN M BOLDERMAN |
| Other Name | KAREN MARGARET BOLDERMAN |
| Credential | RD, LDN, CDE |
| Practice Address |
1400 N Us Highway 441 Suuite 810 The Villages FL 32159-8975 |
| Mailing Address |
1020 Lake Sumter Lndg The Villages FL 32162-2699 |
| Practice Telephone | 3526748700 |
| Practice Fax Number | 3526748714 |
| Mailing Telephone | 3526748700 |
| Mailing Fax Number | 3526748714 |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2015-05-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | ND7205 | FL | Dietary & Nutritional Service Providers |
| Street Address |
1400 N US HIGHWAY 441 SUUITE 810 |
| City | THE VILLAGES |
| State | FL |
| Zip Code | 32159-8975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215930334 | Robert Alan Skotnicki | Internal Medicine | 1400 N Us Highway 441, Suite 810, The Villages, FL 32159-8975 | 2005-05-23 |
| 1407390990 | Camus Medical Practice | Internal Medicine | 1400 N Us Highway 441, Bldg 900 Ste 904, The Villages, FL 32159-8975 | 2016-12-19 |
| 1134661309 | Advanced Orthopedics Institute, P.a. | Specialist | 1400 N Us Highway 441, Sharon Morse Medical Office Building, Suite 552, The Villages, FL 32159-8975 | 2016-11-04 |
| 1720531650 | Hometown Pediatrics LLC | Pediatrics | 1400 N Us Highway 441, Suite 522, The Villages, FL 32159-8975 | 2016-07-27 |
| 1669830675 | Central Florida Premier Eye Associates | Non-Pharmacy Dispensing Site | 1400 N Us Highway 441, Suite 521, The Villages, FL 32159-8975 | 2016-02-04 |
| 1164835906 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 1400 N Us Highway 441, Suite 924, The Villages, FL 32159-8975 | 2014-06-10 |
| 1003259946 | Martinez Cruz Medical Associates of The Villages LLC | Internal Medicine | 1400 N Us Highway 441, Bldg 920 Ste 922, The Villages, FL 32159-8975 | 2013-04-10 |
| 1720376551 | Tanya Nicole Cunningham | Massage Therapist | 1400 N Us Highway 441, Suite 530, The Villages, FL 32159-8975 | 2011-07-14 |
| 1851600126 | Daniel R. Spurrier, Md, Pa | Specialist | 1400 N Us Highway 441, Suite 538, The Villages, FL 32159-8975 | 2010-10-04 |
| 1467766949 | Caroline Anne Mathis | Nurse Practitioner | 1400 N Us Highway 441, Bldg 810, The Villages, FL 32159-8975 | 2010-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306451216 | Lindsey Porubcan | Physician Assistant | 990 South Us Highway 441/27, Lady Lake, FL 32159 | 2020-09-09 |
| 1073134979 | Michael Robert Frates | Dietitian, Registered | 900 Cr 466, Lady Lake, FL 32159 | 2020-05-01 |
| 1346800364 | Barbara Conrad | Social Worker | 906 Orchid Street, Lady Lake, FL 32159 | 2019-06-20 |
| 1962977165 | Curelogics Wound Care and Hyperbaric LLC | Registered Nurse | 809 County Road 466, Unit C-201, Lady Lake, FL 32159 | 2018-10-04 |
| 1346736907 | Caroline Butler | Physician Assistant | 805 E. Cr 466, Lady Lake, FL 32159 | 2018-07-06 |
| 1033609607 | Cyrus Immanuel Macalisang Doroy | Physical Therapist | 6340 County Rd 466, Suite 733, Lady Lake, FL 32159 | 2018-05-18 |
| 1962999680 | Sharma Institute of Pain Medicine | Physical Medicine & Rehabilitation | 1501 Us Hwy 441, Villages, FL 32159 | 2018-04-18 |
| 1538683198 | Cathleen Laurel Civiello | Psychologist | 929 H. Hwy 441, Suite 404, Lady Lake, FL 32159 | 2017-07-26 |
| 1649709015 | Adria Young | Optometrist | 801 Cr 466, Suite 102 Sunset Plaza, Lady Lake, FL 32159 | 2017-06-08 |
| 1891222527 | Center for Hope and Healing, LLC | Social Worker | 804 Hwy 466, Lady Lake, FL 32159 | 2017-05-12 |
| Find all providers in zip 32159 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780901603 | Inchek Diabetes Centers, Inc. | Dietitian, Registered | 12 Lagrande Blvd, The Villages, FL 32159-2384 | 2010-05-02 |
| 1720277155 | John Vincent Logomarsino | Dietitian, Registered | 842 Maybank Loop, The Villages, FL 32162-8782 | 2007-10-22 |
| 1558996017 | Prudence J Artello | Dietitian, Registered | 2910 Brownwood Blvd, The Villages, FL 32163-2032 | 2020-03-05 |
| 1497235170 | Sara J Murray | Dietitian, Registered | 1050 Old Camp Rd Ste 100, The Villages, FL 32162-1762 | 2018-08-21 |
| 1437514536 | Kristen M Curtis | Dietitian, Registered | 1575 Santa Barbara Blvd, The Villages, FL 32159-6820 | 2015-12-16 |
| 1346584943 | Sharon L Peterson | Dietitian, Registered | 8877 Se 165th Mulberry Ln, The Villages, FL 32162-5887 | 2012-11-20 |
| 1689996894 | Caren Leigh Brown | Dietitian, Registered | 1580 Santa Barbara Blvd, The Villages, FL 32159-6827 | 2010-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265268 | Rachel Moore Gibson | Dietitian, Registered | 5145 S Dale Mabry Hwy Unit 20412, Tampa, FL 33611-3677 | 2020-11-08 |
| 1275134520 | Dunia Santana-enamorado | Dietitian, Registered | 6141 Lanshire Dr, Tampa, FL 33634-3042 | 2020-11-03 |
| 1841890464 | Alice Sanchez | Dietitian, Registered | 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 | 2020-11-01 |
| 1114527256 | Jacquelyn Gabriela Baldeon Garo | Dietitian, Registered | 17701 Sw 112th Ave, Miami, FL 33157-5007 | 2020-10-28 |
| 1013516632 | Cecelia Lee Andreo | Dietitian, Registered | 3545 Victory Dr, Pace, FL 32571-8302 | 2020-10-24 |
| 1114526209 | Scientific Nutrition International LLC | Dietitian, Registered | 6295 Sunset Dr, South Miami, FL 33143-4804 | 2020-10-20 |
| 1023617446 | Madisyn Becker | Dietitian, Registered | 871 Ibis Walk Pl N Unit 7203, Saint Petersburg, FL 33716-3843 | 2020-10-19 |
| 1194323774 | Janice Cuevas Cintron | Dietitian, Registered | 5439 Limestone Ln, Lakeland, FL 33809-0830 | 2020-10-15 |
| 1194323345 | Danielle Sara Samelson | Dietitian, Registered | 4225 Cloverleaf Pl, Casselberry, FL 32707-4703 | 2020-10-10 |
| 1518564830 | Sneha Lalla | Dietitian, Registered | 14171 Metropolis Ave Ste 202, Fort Myers, FL 33912-4335 | 2020-10-08 |
| Find all providers with the same taxonomy | ||||
| City | THE VILLAGES |
| Zip Code | 32159 |
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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.