KRISTEN MICHELLE BOLD (NPI# 1851646491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851646491 |
| Entity Type | Individual |
| Full Name | KRISTEN MICHELLE BOLD |
| Credential | P.A.-C |
| Practice Address |
4440 E Highway 287 Midlothian TX 76065-5576 |
| Practice Telephone | 9727235590 |
| Practice Fax Number | 9727235592 |
| Mailing Telephone | 9727235590 |
| Mailing Fax Number | 9727235592 |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2012-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4440 E HIGHWAY 287 |
| City | MIDLOTHIAN |
| State | TX |
| Zip Code | 76065-5576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205879855 | Charles Raymond Leach | Internal Medicine | 4440 E Highway 287, Midlothian, TX 76065-5576 | 2006-06-13 |
| 1083143093 | Nguyet Anh Nguyen | Physician Assistant | 4440 E Highway 287, Midlothian, TX 76065-5576 | 2017-06-05 |
| 1649618612 | Kristi Jean Garrett | Internal Medicine | 4440 E Highway 287, Midlothian, TX 76065-5576 | 2013-06-11 |
| 1225388713 | Monica Leigh Talley-essex | Nurse Practitioner | 4440 E Highway 287, Midlothian, TX 76065-5576 | 2012-09-12 |
| 1194075762 | Tamra Lei Boteler | Nutritionist | 4440 E Highway 287, Midlothian, TX 76065-5576 | 2012-09-11 |
| 1043533664 | John Steven Hanley | Family Medicine | 4440 E Highway 287, Midlothian, TX 76065-5576 | 2010-03-10 |
| 1508097155 | Jay Pribble | Physician Assistant | 4440 E Highway 287, Midlothian, TX 76065-5576 | 2009-07-30 |
| 1780850099 | Charlie Ruby D O P A | Family Medicine | 4440 E Highway 287, Midlothian, TX 76065-5576 | 2008-05-06 |
| 1255540514 | Achal Pankaj Modi | Urology | 4440 E Highway 287, Midlothian, TX 76065-5576 | 2007-05-22 |
| 1396969176 | Earl C. Ruby | Family Medicine | 4440 E Highway 287, Midlothian, TX 76065-5576 | 2007-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487271375 | Methodist Hospitals of Dallas | General Acute Care Hospital | 1201 E Us Hwy 287, Midlothian, TX 76065 | 2020-06-26 |
| 1568085033 | Kyle Jason Mitchell | Social Worker | 4025 E Us 287, Midlothian, TX 76065 | 2020-05-19 |
| 1912549833 | Prestige Dermatology of Midlothian | Dermatology | 320 Hawkins Run Rd., Suite 1, Midlothian, TX 76065 | 2019-10-11 |
| 1669939336 | John Morgan Buie | Dentist | 2410 Fm 663, Suite 200, Midlothian, TX 76065 | 2019-02-28 |
| 1891264685 | Aaric Shammah Services LLC | Community/Behavioral Health | 6610 Dempsey Ln, Midlothian, TX 76065 | 2018-11-21 |
| 1952883399 | Tabitha Jayne Schwark | Occupational Therapy Assistant | 938 Mill Pond Dr., Midlothian, TX 76065 | 2018-09-01 |
| 1306348867 | Linda Susan Rose | Licensed Vocational Nurse | 4081 Walnut Ln, Midlothian, TX 76065 | 2018-03-01 |
| 1922524362 | Jacqueline C. Avalos | Counselor | 5431 Montgomery Rd., Midlothian, TX 76065 | 2017-08-17 |
| 1215322169 | Midtown 2013 Re, LLC | Assisted Living Facility | 910 S. 9th Street, Midlothian, TX 76065 | 2015-03-30 |
| 1902218852 | Katherine Pederson | Family Medicine | 2230 Bryan Pl Ste 200, Midlothian, TX 76065 | 2014-05-27 |
| Find all providers in zip 76065 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588123194 | Margaret Jean Mcclendon | Physician Assistant | 1441 S Midlothian Pkwy Ste 100a, Midlothian, TX 76065-5597 | 2019-03-14 |
| 1447661566 | Jeffrey Harrell | Physician Assistant | 12731 Stone Village Way, Midlothian, VA 23113-2722 | 2014-05-12 |
| 1225469935 | Wesley Ryan Bull | Physician Assistant | 1441 S. Midlothian Parkway Suite 100, Midlothian, TX 76065 | 2013-12-05 |
| 1083143093 | Nguyet Anh Nguyen | Physician Assistant | 4440 E Highway 287, Midlothian, TX 76065-5576 | 2017-06-05 |
| 1083087597 | Joshua Harris | Physician Assistant | 3000 Watercove Rd, Midlothian, VA 23112-3982 | 2015-11-05 |
| 1447525118 | Sarah Dunn Trezza | Physician Assistant | 13821 Village Mill Dr, Suite A, Midlothian, VA 23114-4314 | 2012-03-14 |
| 1508097155 | Jay Pribble | Physician Assistant | 4440 E Highway 287, Midlothian, TX 76065-5576 | 2009-07-30 |
| 1891941175 | Mamta R Patel | Physician Assistant | 1441 S Midlothian Pkwy, Suite 100, Midlothian, TX 76065-5591 | 2008-08-18 |
| 1477678530 | Lawrence D Berndt | Physician Assistant | 11020 Hull Street Rd, Midlothian, VA 23112-3200 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831704576 | Leila Olive Adell | Physician Assistant | 1221 S Congress Ave Apt 331, Austin, TX 78704-2461 | 2020-09-10 |
| 1619591864 | Today Telemedicine Pllc | Physician Assistant | 404 Oxford St Apt 2219, Houston, TX 77007-2679 | 2020-06-03 |
| 1497384168 | Gregory C Etienne | Physician Assistant | 7400 N 4th St, Mcallen, TX 78504-1859 | 2020-04-05 |
| 1689202475 | Theodore Inthaphom | Physician Assistant | 25222 Northwest Fwy Apt 349, Cypress, TX 77429-1065 | 2020-03-29 |
| 1740816982 | Alyssa Conrad | Physician Assistant | 4818 Star Jasmine Dr, Austin, TX 78723-6059 | 2020-03-19 |
| 1114558335 | Erin Lynn Brown | Physician Assistant | 1504 Taub Loop Houston, Houston, TX 77030 | 2020-01-27 |
| 1245870930 | Jessica Grimaldo | Physician Assistant | 1200 Brooklyn Ave Ste 230, San Antonio, TX 78212-0010 | 2020-01-09 |
| 1730728528 | Holli Marie Beard | Physician Assistant | 2625 Scripture St Ste 101, Denton, TX 76201-2304 | 2019-12-27 |
| 1477191237 | Ronald Edwin Brown | Physician Assistant | 1427 Cypress Point Dr, Gunter, TX 75058-3201 | 2019-12-11 |
| 1053957910 | Rossalya Aracely Granda Gutierrez | Physician Assistant | 4150 N Collins St, Arlington, TX 76005-4547 | 2019-11-25 |
| Find all providers with the same taxonomy | ||||
| City | MIDLOTHIAN |
| Zip Code | 76065 |
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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.