Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689161150 Individual Practitioner Female Practitioner

Dr. Keniesha Miller Bolden , DNP, MSN, APRN, NP-C

Nurse Practitioner • Deer Park, TX

Professional Overview & Biography Verified Profile Summary

Dr. Keniesha Bolden, DNP, MSN, APRN, NP-C is a registered healthcare professional specializing in Nurse Practitioner in Deer Park, TX. Practice services are available at 1806 CENTER ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1806 Center St

Deer Park, TX 775363512

Telephone 2814028623
Fax 2814028624

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Deer Park, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Deer Park, TX (4894 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-08-19
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TX AP137150

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location August 19, 2024

Registered at 1806 CENTER ST, DEER PARK, TX 775363512 (Tel: 2814028623)

📍
Updated Business Mailing Address August 19, 2024

Registered at 1806 CENTER ST, DEER PARK, TX 775363512 (Tel: 2814028623)

👤
Provider Name / Credentials Updated August 19, 2024

Recorded as KENIESHA BOLDEN, DNP, MSN, APRN, NP-C

NPI Profile Active April 19, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location April 19, 2018

Registered at 425 HOLDERRIETH BLVD, SUITE 212, TOMBALL, TX 77375 (Tel: 2817668800)

📍
Updated Business Mailing Address April 19, 2018

Registered at 425 HOLDERRIETH BLVD STE 212, TOMBALL, TX 773754552 (Tel: 2817668800)

👤
Provider Name / Credentials Updated April 19, 2018

Recorded as KENIESHA MILLER, MSN, APRN, NP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2018

Nurse Practitioner (License #AP137150 in TX)

🟢
Initial NPI Registration & Enumeration April 19, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689161150
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 19, 2018
Last Update: August 19, 2024
Sole Proprietor: No

Mailing Address

1806 Center St

Deer Park, TX 775363512

Phone: 2814028623

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.