CRISTINA SMITH BOLIN DNP APRNC NPI 1790224699

NPI Information

  • NPI: 1790224699
  • Provider Name: CRISTINA SMITH BOLIN, DNP APRNC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9880 ANGIES WAY
    SUITE 420
    LOUISVILLE, KY
    ZIP 40241
  • Phone: (502) 629-5400

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NPI Details

Cristina Smith Bolin, DNP APRNC is a family nurse practitioner in Louisville, KY with 10 years of experience. Cristina Smith Bolin, DNP APRNC NPI is 1790224699. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduation Year:2016

The provider's business location address is:

9880 ANGIES WAY
SUITE 420
LOUISVILLE, KY
ZIP 40241-851
Phone: (502) 629-5400
Fax: (502) 629-5492

The NPI 1790224699 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)

The enumeration date for this NPI number is 2/13/2017 and was last updated on 4/4/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily3011085KENTUCKYYes
2363LF0000XNurse PractitionerFamily24728TENNESSEENo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17100471030MEDICAIDKENTUCKY
2226541OTHERKENTUCKYSIHO
3000001074358OTHERKENTUCKYANTHEM
450125255OTHERKENTUCKYPASSPORT
5K218100OTHERKENTUCKYMEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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