Miss Kelly Anne Boldt
Nurse Practitioner (Psychiatric/Mental Health)

Address: 601 Elmwood Ave, Rochester, NY 14642-0001
Phone: 5852753652

Miss Kelly Anne Boldt (NPI# 1700894490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1700894490
Entity Type Individual
Full Name Miss Kelly Anne Boldt
Credential N.P.
Gender Female
Practice Address 601 Elmwood Ave
Rochester
NY 14642-0001
Practice Telephone 5852753652
Practice Fax Number 5852731387
Mailing Address 601 Elmwood Ave
Box Psych
Rochester
NY 14642-0001
Mailing Telephone 5852753652
Mailing Fax Number 5852731387
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2006-08-04
Last Update Date 2017-02-01

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LP0808X Nurse Practitioner · Psychiatric/Mental Health Physician Assistants & Advanced Practice Nursing Providers 400837 NY

Physician Overview

NPI 1700894490
PAC ID by PECOS 0941439004
Professional Enrollment ID I20170306000354
Full Name Kelly A Boldt
Organization Legal Name UNIVERSITY OF ROCHESTER DEPARTMENT OF PSYCHIATRY CLINICAL GROUP
Phone Number 5852757424
Gender F
Graduation Year 2004
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 3173420429
Number of Group Practice Members 52
Accepts Medicare Assignment Y

Office Location

Street Address 601 ELMWOOD AVE
City ROCHESTER
State NY
Zip Code 14642-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154324317 Marc Norman Berliant Internal Medicine 601 Elmwood Ave, Box Med, Rochester, NY 14642-0001 2005-05-23
1033682083 Bandar Aljudaibi Internal Medicine 601 Elmwood Ave, Rochester, NY 14642-0001 2019-01-02
1134691702 Samantha Howell Physician Assistant 601 Elmwood Ave, Rochester, NY 14642-0002 2018-12-20
1073084976 Sacora Chatman Nurse Practitioner 601 Elmwood Ave, Rochester, NY 14642-0001 2018-12-17
1649747734 Jacquelyn Spector Nurse Practitioner 601 Elmwood Ave, Rochester, NY 14642-0001 2018-10-27
1558836544 Alyssa Haugh Physician Assistant 601 Elmwood Ave, Rochester, NY 14642-0001 2018-10-05
1093290363 Emily Roesch Physician Assistant 601 Elmwood Ave, Rochester, NY 14642-0002 2018-10-02
1467937425 Dana Bethany Rojek Nurse Practitioner 601 Elmwood Ave, Rochester, NY 14642-0002 2018-09-26
1023593183 Nora Marie Shafer Pharmacist 601 Elmwood Ave, Rochester, NY 14642-0001 2018-09-25
1811471949 Hanna Choi Physician Assistant 601 Elmwood Ave, Rochester, NY 14642-0001 2018-09-25
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497227094 Alison Kent Pediatrics Dept of Pediatrics, University of Rochester, 601 Elmwood Avenue, Rochester, NY 14642 2018-12-20
1326539909 Saumya Goel Aujla Student in an Organized Health Care Education/Training Program 601 Elmwood Ave # 664, Rochester, NY 14642 2018-05-19
1194222513 Jonah Meyerhoff Student in an Organized Health Care Education/Training Program 300 Crittenden Blvd Department of Psychiatry, Rochester, NY 14642 2018-04-11
1922505387 Daniel Bral Student in an Organized Health Care Education/Training Program 601 Elmwood Ave # 655, Rochester, NY 14642 2018-04-11
1144738949 Francis Michael Manzo Registered Nurse University of Rochester 601 Elmwood Ave Box Surg, Rochester, NY 14642 2018-01-15
1225552649 George Norman Abraham Internal Medicine 600 Elmwood Avenue, University of Rochester, Rochester, NY 14642 2017-07-27
1861928301 Sonia Thakur Student in an Organized Health Care Education/Training Program 601 Elmwood University of Rochester Medical Center, Department of Physicial Medicine and Rehabilitation, Rochester, NY 14642 2017-05-03
1346773496 Zachary Todd Skabelund Student in an Organized Health Care Education/Training Program 601 Elmwood Ave Dept Box, Rochester, NY 14642 2017-04-05
1316332489 Sana Idrees Student in an Organized Health Care Education/Training Program 210 Crittenden Blvd, Flaum Eye Institute, Rochester, NY 14642 2015-04-05
1043620644 University of Rochester Medical Center General Acute Care Hospital 601 Elmwood Avenue, Box 704, Rochester, NY 14642 2014-05-05
Find all providers in zip 14642

Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psychiatric/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497280382 Roslynn Porter Nurse Practitioner 77 Colvin St, Rochester, NY 14611-2136 2017-04-27
1235589300 Andrew Cyrus Marcy Nurse Practitioner 95 Allens Creek Road Bld 1 Ste 306, Rochester, NY 14618 2016-06-20
1588049258 Lisa Parnell Nurse Practitioner 200 East River Road, Rochester, NY 14623 2015-07-23
1346647476 Morris Owen Nurse Practitioner 1732 South Ave, Rochester, NY 14620-4238 2014-12-04
1902201700 Bryan Carleton Nurse Practitioner 2214 21st St Nw, Rochester, MN 55901-0614 2014-10-23
1942602198 Deirdre Mary Kelley Nurse Practitioner 1111 Elmwood Ave Bldg 16, Rochester, NY 14620-3005 2014-09-18
1083014070 M Elizabeth Rowe Nurse Practitioner 1645 Saint Paul St, Rochester, NY 14621-3162 2014-08-27
1639587009 Sean Patrick Murphy Nurse Practitioner 95 Allens Creek Road, Building 1 Suite 306, Rochester, NY 14618 2014-07-29
1023375227 Saul Sandford Kissin Nurse Practitioner 210 9th St. Se, Rochester, MN 55904-6756 2012-04-12
1639455819 Gerlyn Campbell Nurse Practitioner 248 Oxford St, Rochester, NY 14607-2146 2011-11-01
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Competitor

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City ROCHESTER
Zip Code 14642

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Dataset Information

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.

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