MRS. KIMBERLY ANN BOLLING RN NPI 1962136184

NPI Information

  • NPI: 1962136184
  • Provider Name: MRS. KIMBERLY ANN BOLLING, RN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2001 CRYSTAL SPRING AVE SW STE 201
    ROANOKE, VA
    ZIP 24014
  • Phone: (540) 853-0100

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NPI Details

MRS. Kimberly Ann Bolling, RN is a family nurse practitioner in Roanoke, VA with 4 years of experience. MRS. Kimberly Ann Bolling, RN NPI is 1962136184. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2001 CRYSTAL SPRING AVE SW STE 201
ROANOKE, VA
ZIP 24014-465
Phone: (540) 853-0100

The NPI 1962136184 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 enumeration date for this NPI number is 7/13/2022 and was last updated on 9/8/2022.

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
1163W00000XRegistered Nurse0001192587VIRGINIANo
2363LF0000XNurse PractitionerFamily0024184858VIRGINIAYes

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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