HOLLY THRAILKILL (NPI# 1003361098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003361098 |
| Entity Type | Individual |
| Full Name | HOLLY THRAILKILL |
| Credential | AGPCNP |
| Practice Address |
1405 S 8th St La Porte TX 77571-6207 |
| Practice Telephone | 8322628358 |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2019-07-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
759528 | TX | Nursing Service Providers |
| N | 163WN1003X |
Registered Nurse Specialization: Nutrition Support |
759528 | TX | Nursing Service Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
759528 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
759628 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NONE | NONE | 01 |
| Street Address |
1405 S 8TH ST |
| City | LA PORTE |
| State | TX |
| Zip Code | 77571-6207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831159 | Ml - La Porte, LLC | Skilled Nursing Facility | 3950 Underwood Rd, La Porte, TX 77571 | 2020-04-29 |
| 1487205779 | Deborah Martin | Technician | 1006 Shell Rock Rd, La Poete, TX 77571 | 2019-09-27 |
| 1871899815 | Jamie Lee Anderson | Chiropractor | 1003 S. Broadway St., La Porte, TX 77571 | 2011-02-09 |
| 1700064292 | Pediatric Clinic of Laporte | Pediatrics | 10407 West Fairmont Parkway, Suite B, Laporte, TX 77571 | 2008-02-06 |
| 1518172188 | Larry Alan Ward | Chiropractor | 10335 Shell Rock, La Porte, TX 77571 | 2007-05-14 |
| 1720125008 | Victor Alvarado | Dentist | 400 W Fairmont Pkwy, La Porte, TX 77571 | 2007-01-30 |
| 1417042904 | Cynthia A Bowles | Physician Assistant | 3414 Hwy 146 S, La Porte, TX 77571 | 2006-10-03 |
| 1659473809 | Rahman Sahadat Uddin | Pediatrics | 10407 W Fairmont Pkwy, Ste B, La Porte, TX 77571 | 2006-09-01 |
| 1306950225 | Special Texas Homes Inc | Intermediate Care Facility, Mentally Retarded | 5205 Meadowplace, La Porte, TX 77571 | 2006-08-18 |
| 1275647190 | Special Texas Homes Inc | Intermediate Care Facility, Mentally Retarded | 9734 Shellrock Rd, La Porte, TX 77571 | 2006-08-18 |
| Find all providers in zip 77571 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902037542 | Jody Kupferberg | Nurse Practitioner | 900 I St Fl 2, La Porte, IN 46350-5533 | 2009-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275778 | Anel Odette Chavez | Nurse Practitioner | 1006 Sage Ln, Edinburg, TX 78539-7820 | 2020-11-04 |
| 1104427335 | Randel Bond | Nurse Practitioner | 337 Woodstone Loop, Cibolo, TX 78108-3268 | 2020-11-04 |
| 1467051870 | Melinda Davis-mcclendon | Nurse Practitioner | 2158 River Edge Dr, Belton, TX 76513-1429 | 2020-10-19 |
| 1053910489 | Morgan Lee Lemoine | Nurse Practitioner | 1811 Stephen Dr, Wylie, TX 75098-0258 | 2020-10-17 |
| 1255939740 | Melissa Walles George | Nurse Practitioner | 941 Scotland Dr, Desoto, TX 75115-2058 | 2020-10-15 |
| 1487251377 | Karen Baricaua Bautista | Nurse Practitioner | 1912 78th St, Lubbock, TX 79423-2455 | 2020-10-05 |
| 1205443132 | Rincy P Mathew | Nurse Practitioner | 10935 Estate Ln Ste 400, Dallas, TX 75238-5110 | 2020-09-24 |
| 1326654724 | Connie Sue Fiser | Nurse Practitioner | 248 Cass Cir, Flint, TX 75762-6990 | 2020-09-21 |
| 1588279525 | Marquita Michelle Pickens | Nurse Practitioner | 6817 Historic Vw, Dallas, TX 75236-0109 | 2020-09-15 |
| 1033723184 | Rita Chibuzor Nwajei | Nurse Practitioner | 2726 Atlas Dr, Missouri City, TX 77459-6745 | 2020-09-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.