KELLI HOLLINGSWORTH (NPI# 1053657247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053657247 |
Entity Type | Individual |
Full Name | KELLI HOLLINGSWORTH |
Credential | RDMS |
Practice Address |
1420 3rd St Sw Ste 1b Roanoke VA 24016-5205 |
Mailing Address |
1149 Branch Hill Rd Vinton VA 24179-5397 |
Practice Telephone | 5406853835 |
Mailing Telephone | 5406853835 |
Enumeration Date | 2012-12-17 |
Last Update Date | 2012-12-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
133410 | Technologists, Technicians & Other Technical Service Providers |
Street Address |
1420 3RD ST SW STE 1B |
City | ROANOKE |
State | VA |
Zip Code | 24016-5205 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134758329 | Davis Andrew Sugar | Student in an Organized Health Care Education/Training Program | 1 Riverside Circle, Suite 401, Roanoke, Va, 24016, Suite 401, Roanoke, VA 24016 | 2020-04-08 |
1356810659 | Susanne Tribble | Social Worker | 202 Wells Ave Nw, Roanoke, VA 24016 | 2018-11-15 |
1801305818 | Rena Lee Daye | Driver | 10 12th St. Sw, Roanoke, VA 24016 | 2017-09-21 |
1053841965 | Christin Elledge Clark | Nurse Practitioner | 1234 Franklin Road, Roanoke, VA 24016 | 2017-06-13 |
1235685884 | Helen Franck | Physical Therapist | 650 North Jefferson Street, Roanoke, VA 24016 | 2016-09-01 |
1457710238 | Frances Marie Gaeta | Social Worker | 360 Campbell Ave, Roanoke, VA 24016 | 2016-02-22 |
1982073292 | Sophie Mench Tranmer | Physical Therapist | 1421 Third St. Sw, Roanoke, VA 24016 | 2015-09-16 |
1982008181 | National Counseling Group, Inc | Psychiatry & Neurology | 20 Walnut Avenue, Roanoke, VA 24016 | 2014-10-17 |
1366858342 | National Counseling Group, Inc | Psychiatry & Neurology | 16 Walnut Avenue, Roanoke, VA 24016 | 2014-07-10 |
1427320878 | Kristen L. Jagger | Physical Medicine & Rehabilitation | 1015 First Street Sw Suite 2, Roanoke, VA 24016 | 2012-02-01 |
Find all providers in zip 24016 |
Taxonomy Code | 2471S1302X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Radiologic Technologist |
Specialization | Sonography |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962779587 | Ultrasound Scanning Services, Inc. | Radiologic Technologist | 2900 Young Dr, Oakton, VA 22124-1452 | 2011-11-28 |
1336326776 | Shana Joy Hill | Radiologic Technologist | 2516 Belmont Terrace, 2h, Fredericksburg, VA 22401 | 2008-01-29 |
1699876706 | Bistate Diagnostic | Radiologic Technologist | Rr2 Box 26 Riverbend Est, Bluefield, VA 24605-0784 | 2006-09-25 |
1063820710 | Melissa Wagner | Radiologic Technologist | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2014-07-25 |
1891983953 | Fairfax Ob-gyn Associates, Inc. | Radiologic Technologist | 3650 Joseph Siewick Dr, Suite 203, Fairfax, VA 22033-1710 | 2007-10-13 |
1720272909 | Rodolfo Alain Morera | Radiologic Technologist | 2300 Opitz Blvd, Woodbridge, VA 22191-3311 | 2007-08-30 |
Please comment or provide details below to improve the information on KELLI HOLLINGSWORTH.
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.