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MRS. KRISTEN LEANN BOLDRA
NPI 1104518372
Peer Specialist in Jay, OK

Active since May 24, 2023
1015 W WASHBOURNE ST, JAY, OK 74346(918) 308-5513(918) 253-6645 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kristen Leann Boldra NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KRISTEN LEANN BOLDRA (NPI 1104518372) is an individual peer specialist in Jay, Oklahoma and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1104518372
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameMRS. KRISTEN LEANN BOLDRA
Location Address1015 W WASHBOURNE STJay, OK 74346-4205
Mailing Address1015 W Washbourne StJay, OK 74346-4205 · (918) 308-5513 · Fax (918) 253-6645
Phone(918) 308-5513
Fax(918) 253-6645
Sole ProprietorNo
Enumeration DateMay 24, 2023
NPPES CertifiedMay 24, 2023
✔ NPI 1104518372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1015 W WASHBOURNE ST, Jay, OK 74346
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Other Names 1

Former Name (1)Kristen Leann Garr

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRAVIS VIRON KERSH
Peer Specialist
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (844) 458-2100
JADE ALEXANDRIA FRAZIER RN
Case Manager/Care Coordinator
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (844) 458-2100
ALISHA DAWN HUGHES
Behavior Analyst
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (918) 308-5513
ANDREW C WICKLINE
Case Manager/Care Coordinator
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (918) 868-7489
ELIZABETH BUCHANAN
Counselor (Mental Health)
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (918) 308-5513
KARLIE ROSE BUSH LPN
Licensed Practical Nurse
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (844) 458-2100
DR. STEFAN SHANE HACKER DDS
Dentist
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (918) 253-8696
KIMBERLY DAWN LIEB
Peer Specialist
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (918) 273-1841

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristen Boldra's NPI number?

The NPI number for Kristen Boldra is 1104518372. It was assigned to this individual provider in the NPPES registry on May 24, 2023. The provider is also known as Kristen Leann Garr.

Where is Kristen Boldra located?

Kristen Boldra practices at 1015 W Washbourne St, Jay, OK 74346. The listed phone number is (918) 308-5513.

What is Kristen Boldra's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Kristen Boldra was last updated on May 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.