MRS. HOLLY ANN GATES


Address: 1506 Sioux Dr, Marion, IL 62959
Phone: 6185199200

MRS. HOLLY ANN GATES (NPI# 1063991206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063991206
Entity Type Individual
Full Name MRS. HOLLY ANN GATES
Other Name MRS. HOLLY RYDER
Credential NP-C
Practice Address 1506 Sioux Dr
Marion
IL 62959
Mailing Address 109 California St Po Box 577
Carterville
IL 62918-0577
Practice Telephone 6185199200
Practice Fax Number 6189854635
Mailing Telephone 6185199200
Mailing Fax Number 6189854635
Enumeration Date 2018-08-08
Last Update Date 2019-06-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner 209017901 IL Physician Assistants & Advanced Practice Nursing Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
209.017901 IL Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
628 N 14th St, Murphysboro, IL 629661807 6186872353 6186879511

Office Location

Street Address 1506 SIOUX DR
City MARION
State IL
Zip Code 62959

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538150107 Danneille C Trujillo-hansen Clinical Nurse Specialist 1506 Sioux Dr, Marion, IL 62959-5209 2005-11-02
1306497052 Shawnee Health Service and Development Corp Clinic/Center 1506 Sioux Dr, Marion, IL 62959-5209 2019-09-24
1134582471 Tiffany Todd Social Worker 1506 Sioux Dr, Marion, IL 62959-5209 2016-04-04
1770770133 Nicky R Turner Nurse Practitioner 1506 Sioux Dr, Marion, IL 62959 2007-10-01
1205036696 Michael W Adams Clinic/Center 1506 Sioux Dr, Marion, IL 62959-5209 2007-07-23
1528178860 Kathryn Marie Mcmurphy Physician Assistant 1506 Sioux Dr, Marion, IL 62959-5209 2006-08-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710513486 Sarah Benitone Counselor 11264 Il-37, Marion, IL 62959 2020-03-13
1528609328 Patricia E Murphy Radiology 4503 1/2 W Deyoung, Suite 3a, Marion, IL 62959 2019-10-02
1366007007 Centerstone of Illinois, Inc Community/Behavioral Health 202 S Bentley St, Marion, IL 62959 2019-05-08
1649752064 Sydney Seiter Occupational Therapist 906 Skyline Suite 100, Marion, IL 62959 2018-09-01
1497279848 Brooke Alisa Osman Licensed Practical Nurse 11531 Sunderland Road, Marion, IL 62959 2017-07-27
1912436429 Joy L. Kee Social Worker 509 South Bentley Street, Marion, IL 62959 2017-06-08
1386181170 Susan Smothers Counselor 1305 West Main Street, Marion, IL 62959 2017-01-31
1205280922 Harish Kempegowda Orthopaedic Surgery 3331 W Deyoung St Ste 201, Marion, IL 62959 2016-04-19
1942609227 Casey Hill Social Worker 1604 W. Walnut St., Marion, IL 62959 2014-08-22
1306252812 Justin M White Chiropractor 1603 W Kimmel, Marion, IL 62959 2014-07-03
Find all providers in zip 62959

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790391977 Pamela Jane Clarida Nurse Practitioner 1001 E Illinois St, Marion, IL 62959-3711 2020-09-22
1194330845 Jamie Jones Hayden Nurse Practitioner 134 Willow Springs Rd, Marion, VA 24354-6700 2020-09-10
1992331714 Andrea Williams Nurse Practitioner 55 Mckenzie Cv, Marion, AR 72364-2661 2020-03-13
1073159984 Angela Hamill Nurse Practitioner 924 Ar 77, Marion, AR 72364 2019-11-26
1902466220 Aimee Wiggins Martin Nurse Practitioner 1649 W Highway 76, Marion, SC 29571-6621 2019-06-18
1801358163 William Wayne Thomas II Nurse Practitioner 2808 Outer Dr, Marion, IL 62959-5207 2019-04-04
1033670062 Era Louise Mattingly Nurse Practitioner 11522 White Pine Ave, Marion, IL 62959-8379 2019-03-31
1598223414 Jeanni A. Gerwin Nurse Practitioner 1125 Ellen Kay Dr Ste A, Marion, OH 43302-6358 2019-03-10
1619431780 Lisa Dawn Powell Nurse Practitioner 2921 Hwy 77 S Ste 12-13, Marion, AR 72364-2367 2019-01-23
1285110551 Marcie Ann Ellington Nurse Practitioner 518 W Gum St, Marion, KY 42064-1516 2018-07-19
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Competitor

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City MARION
Zip Code 62959

Improve Information

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Dataset Information

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.

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