CASSIE L BOLDUC (NPI# 1669941142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669941142 |
| Entity Type | Individual |
| Full Name | CASSIE L BOLDUC |
| Credential | CNS |
| Practice Address |
940 N Marr Rd Ste B Columbus IN 47201-2610 |
| Practice Telephone | 8123750272 |
| Practice Fax Number | 8123751093 |
| Mailing Telephone | 8123750272 |
| Mailing Fax Number | 8123751093 |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2020-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 364S00000X | Clinical Nurse Specialist | 28160216A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364S00000X | Clinical Nurse Specialist | 71008787A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
940 N MARR RD STE B |
| City | COLUMBUS |
| State | IN |
| Zip Code | 47201-2610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407868722 | Russell James Pikus | Internal Medicine | 940 N Marr Rd Ste B, Columbus, IN 47201-2610 | 2006-08-13 |
| 1790797918 | Southern Indiana Nephrology and Hypertension Inc | Internal Medicine | 940 N Marr Rd Ste B, Columbus, IN 47201-2610 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389569 | Ryanne Nicole Slavens | Speech-Language Pathologist | 1974 Glenmoor Drive, Columbus, IN 47201 | 2020-09-08 |
| 1023670759 | Alisha Nicole Scoville | Counselor | 2630 22nd Street, Columbus, IN 47201 | 2019-07-02 |
| 1467964718 | Columbus Radiology Physicians LLC | Radiology | 2400 E. 17th Street, Columbus, IN 47201 | 2017-10-26 |
| 1790148849 | Gabriel Woon | Specialist | 913 25th St., Columbus, IN 47201 | 2016-04-05 |
| 1144680604 | Forefront Dermatology, S.c. | Dermatology | 244 Westwood Blvd, Columbus, IN 47201 | 2016-02-26 |
| 1871832550 | Jennifer Lynn Grant | Nurse Practitioner | 836 Jackson St., Columbus, IN 47201 | 2013-01-31 |
| 1235404526 | Eric Philip Tannenbaum | Orthopaedic Surgery | 940 N Marr Rd Ste C, Columbus, IN 47201 | 2012-03-20 |
| 1881994176 | Terri Ann Brewer | Social Worker | 12000 W. Moores Vineyard Rd, Columbus, IN 47201 | 2010-11-02 |
| 1255654620 | The Kane Group LLC | Durable Medical Equipment & Medical Supplies | 927 Fourth Street, Columbus, IN 47201 | 2010-03-12 |
| 1023243771 | Allison K Royer | Otolaryngology | 2326 18th Street, Suite 230, Columbus, IN 47201 | 2009-05-26 |
| Find all providers in zip 47201 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518523125 | Elena Lozko Stock | Clinical Nurse Specialist | 581 Olentangy Woods Dr, Columbus, OH 43235-3495 | 2019-05-20 |
| 1427454115 | Angela Bonner | Clinical Nurse Specialist | 1423 Aven Dr, Columbus, OH 43227-3263 | 2014-11-07 |
| 1437488707 | Sally Anne Hough | Clinical Nurse Specialist | 964 Bluffpoint Dr, Columbus, OH 43235-3193 | 2009-12-16 |
| 1679632954 | Susan Marie Brookins | Clinical Nurse Specialist | 5796 Karl Rd, Columbus, OH 43229-3659 | 2006-12-06 |
| 1720090947 | Kimberly Mellencamp Freeman | Clinical Nurse Specialist | 2325 18th St, Suite 210, Columbus, IN 47201-5388 | 2006-08-13 |
| 1063041994 | Julie Vance | Clinical Nurse Specialist | 4600 38th St, Columbus, NE 68601-1664 | 2020-04-03 |
| 1134684244 | Brandy Nicole Gilbert | Clinical Nurse Specialist | 181 Taylor Ave, Columbus, OH 43203-1779 | 2019-02-02 |
| 1548756752 | Kristen Michele Hill | Clinical Nurse Specialist | 410 W 10th Ave, Columbus, OH 43210-1240 | 2018-07-11 |
| 1053802322 | Lindsay Michele Ring | Clinical Nurse Specialist | 181 Taylor Ave, Columbus, OH 43203-1779 | 2018-05-22 |
| 1437640794 | Nakita Nicholle Johns | Clinical Nurse Specialist | 410 W 10th Ave, Columbus, OH 43210 | 2018-05-22 |
| Find all providers in COLUMBUS | ||||
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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.