Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derrick J Boles

Individual provider Community Health Worker · NPI 1548140858

Derrick J Boles is a Community Health Worker in Holt, Michigan. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

4049 Sunshine Peak Dr
Holt, MI 48842-7733
Phone: (208) 739-2404
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1548140858
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 5, 2025
Last updated in NPPESSeptember 5, 2025
Certification dateSeptember 5, 2025
Mailing address4049 Sunshine Peak Dr, Holt, MI 48842-7733