HOLLY HOLMES LEONHARD (NPI# 1073013702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073013702 |
Entity Type | Individual |
Full Name | HOLLY HOLMES LEONHARD |
Credential | ACNPC-AG |
Practice Address |
648 Crestwood Dr Covington LA 70433 |
Mailing Address |
1150 Robert Blvd Suitee 220 Covington LA 70433 |
Practice Telephone | 9858052555 |
Practice Fax Number | 9854005303 |
Mailing Telephone | 9858052555 |
Mailing Fax Number | 9854005303 |
Enumeration Date | 2018-02-19 |
Last Update Date | 2019-08-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP09765 | LA | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1150 Robert Blvd, Covington, LA 70433 | 9858052555 | 9854005303 |
433 Plaza St Ste 3a, Bogalusa, LA 704273729 | 9857306970 | 9857307269 |
648 Crestwood Dr, Covington, LA 70433 | 9858052555 | 9854005303 |
Street Address |
648 CRESTWOOD DR |
City | COVINGTON |
State | LA |
Zip Code | 70433 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881239911 | Karin Moran Burvant | Speech-Language Pathologist | 648 Crestwood Dr, Covington, LA 70433 | 2019-11-13 |
1417504887 | Matthew Ladouceur | Clinical Nurse Specialist | 648 Crestwood Dr, Covington, LA 70433 | 2019-08-21 |
1033766498 | Lisa Raymond-prinz | Nurse Practitioner | 648 Crestwood Dr, Covington, LA 70433 | 2019-08-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790301018 | Caroline K. Wilson | Speech-Language Pathologist | 19105 Sandy Lane Suite A, Covington, LA 70433 | 2020-06-23 |
1568092013 | Tracy T Aljabi | Nurse Practitioner | 648 Crestwood Dr., Covington, LA 70433 | 2020-01-23 |
1093365462 | Maria Robert Hebrock | Marriage & Family Therapist | 71338 La-21, Suite 101, Covington, LA 70433 | 2019-09-17 |
1750930806 | Terry Fink Troxler | Speech-Language Pathologist | 521 Covington Point Dr, Covington, LA 70433 | 2019-09-10 |
1780231589 | Margaret Nordness Favre | Behavioral Analyst | 3999 Us-190, Covington, LA 70433 | 2019-08-26 |
1881241180 | Jennifer Ann Bacile | Counselor | 604 E 15th Street, Covington, LA 70433 | 2019-08-21 |
1356906689 | Moving and Caring Transportation LLC | Non-emergency Medical Transport (VAN) | 251 Vintage Drive, Covington, LA 70433 | 2019-05-02 |
1780153874 | Nga Endoscopy Center LLC | Clinic/Center | 7015 Hwy 190 E Service Road Suite 103, Covington, LA 70433 | 2018-11-19 |
1831667229 | Geauxprodme | Durable Medical Equipment & Medical Supplies | 1304 Champagne Street, Covington, LA 70433 | 2018-11-05 |
1376037994 | Pamela Ann Bernabo | Specialist/Technologist, Other | 80 Maison Drive, Covington, LA 70433 | 2018-06-18 |
Find all providers in zip 70433 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427582956 | Andrea Bernard | Nurse Practitioner | 125 Providence Pkwy, Covington, GA 30014-8348 | 2017-04-11 |
1821374851 | Paulette Carothers | Nurse Practitioner | 899 Highway 51 S, Covington, TN 38019-2568 | 2011-10-21 |
1083613426 | Jennifer Ann Cline | Nurse Practitioner | 343 Pike St, Covington, KY 41011-2179 | 2005-07-19 |
1376181198 | Nicholas Giordano | Nurse Practitioner | 1970 N Highway 190, Covington, LA 70433-5364 | 2019-12-11 |
1033766498 | Lisa Raymond-prinz | Nurse Practitioner | 648 Crestwood Dr, Covington, LA 70433 | 2019-08-21 |
1619342680 | Nichole Lawson | Nurse Practitioner | 50 E Rivercenter Blvd Ste 434, Covington, KY 41011-1660 | 2015-12-02 |
1457726572 | Dianne Marie Henn Lehman | Nurse Practitioner | 2040 Madison Ave, Covington, KY 41014-1210 | 2015-12-01 |
1881967271 | Joyce Ann Tebbe | Nurse Practitioner | 2600 Mote Dr, Covington, OH 45318-1260 | 2012-02-15 |
1275628646 | Danielle Tranchina | Nurse Practitioner | 39 Starbrush Cir, Covington, LA 70433-7304 | 2006-10-03 |
1386748861 | Sheri Porter | Nurse Practitioner | 1000 Ochsner Blvd, Covington, LA 70433-8107 | 2006-09-12 |
Find all providers in COVINGTON |
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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.