MRS. AMANDA KAY HOLLENBECK (NPI# 1104273192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104273192 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA KAY HOLLENBECK |
| Other Name | AMANDA BULLER |
| Credential | APRN |
| Practice Address |
5201 W Memorial Rd Oklahoma City OK 73142-2004 |
| Practice Telephone | 4057554050 |
| Practice Fax Number | 4057499566 |
| Mailing Telephone | 4057554050 |
| Mailing Fax Number | 4057499566 |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2019-06-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 84147 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2525 Nw Expressway St Ste 102, Oklahoma City, OK 731127200 | 4052130192 | 4054380988 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437792611 | Amanda Joy Hollenbeck | Case Manager/Care Coordinator | 12005 E 470 Rd, Claremore, OK 74017-3737 | 2019-10-21 |
| Street Address |
5201 W MEMORIAL RD |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73142-2004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699719773 | Jeanie L. Klabzuba | Family Medicine | 5201 W Memorial Rd, Oklahoma City, OK 73142-2016 | 2006-06-16 |
| 1659886059 | Abigail Pearson | Physician Assistant | 5201 W Memorial Rd, Oklahoma City, OK 73142-2004 | 2017-12-06 |
| 1942724125 | Laurie Morgan Rozzell | Nurse Practitioner | 5201 W Memorial Rd, Oklahoma City, OK 73142-2004 | 2017-07-31 |
| 1629435847 | Kerri Elizabeth Patton | Nurse Practitioner | 5201 W Memorial Rd, Oklahoma City, OK 73142-2004 | 2016-01-19 |
| 1538581707 | Melissa K Cook | Physician Assistant | 5201 W Memorial Rd, Oklahoma City, OK 73142-2004 | 2014-01-07 |
| 1194150268 | Leah Michelle Cox | Specialist/Technologist | 5201 W Memorial Rd, Oklahoma City, OK 73142-2004 | 2013-09-09 |
| 1225256282 | Brendon Dean Mccollom | Family Medicine | 5201 W Memorial Rd, Oklahoma City, OK 73142-2004 | 2007-04-23 |
| 1679640932 | Mercy Health Network Inc | Family Medicine | 5201 W Memorial Rd, Oklahoma City, OK 73142-2004 | 2006-11-29 |
| 1831124932 | Barbara Elizabeth Moore | Nurse Practitioner | 5201 W Memorial Rd, Oklahoma City, OK 73142-2004 | 2006-07-11 |
| 1508890666 | Teddy E. Webb | Family Medicine | 5201 W Memorial Rd, Oklahoma City, OK 73142-2004 | 2006-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184003790 | Advance Physicians Group LLC | Clinic/Center | 13401 N Macarthur Blvd, Oklahoma City, OK 73142 | 2015-05-28 |
| 1366840084 | Lindsey Jackson | Case Manager/Care Coordinator | 12051 Parkland Pl, Oklahoma City, OK 73142 | 2014-12-11 |
| 1164866737 | Vitality Wellness | Clinic/Center | 5740 Nw 135th St., Oklahoma City, OK 73142 | 2013-04-25 |
| 1356694558 | Joel Mitchell Sprinkle | Community Health Worker | 13100 Brandon Pl, Oklahoma City, OK 73142 | 2012-10-25 |
| 1689923856 | Sampson Mcsidney | Case Management | 14717 Hollyhock Dr, Oklahoma City, OK 73142 | 2012-09-04 |
| 1992087860 | Derek Reed Mccarver | Pharmacist | 1400 E. 2nd St, Edmond, OK 73142 | 2011-09-15 |
| 1326335811 | Laser Spine Surgery Center of Oklahoma, LLC | Clinic/Center | 4727 Gaillardia Parkway, Suite 150, Oklahoma City, OK 73142 | 2011-07-05 |
| 1215220801 | James Kenneth Fisher | Psychologist | 12522 Abbotts Way, Oklahoma City, OK 73142 | 2011-05-16 |
| 1174850408 | Diagnostic Laboratory of Oklahoma, LLC | Clinical Medical Laboratory | 5911 West Memorial Road, Oklahoma City, OK 73142 | 2009-11-06 |
| 1417113275 | Reuben Seth Thomas | Optometrist | 6200 W Memorial Rd Ste A, Oklahoma City, OK 73142 | 2008-07-31 |
| Find all providers in zip 73142 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407471402 | Brenda June Wilson | Nurse Practitioner | 8609 Sw 58th Cir, Oklahoma City, OK 73179-7910 | 2020-06-15 |
| 1508328998 | Jennifer Alison Phillips | Nurse Practitioner | 6101 Ne 107th St, Oklahoma City, OK 73151-9560 | 2019-04-03 |
| 1952875981 | Brieana Kay Dawson | Nurse Practitioner | 8501 Sw 48th St, Oklahoma City, OK 73179-4622 | 2019-01-12 |
| 1528539541 | Sheena Margariet Musgrove | Nurse Practitioner | 3101 Hampshire Ln, Oklahoma City, OK 73179-1206 | 2018-12-17 |
| 1922593771 | Terry Murdock | Nurse Practitioner | 6305 N Villa Ave Apt 13, Oklahoma City, OK 73112-7133 | 2018-06-25 |
| 1487157772 | Misti Jayne Moon-harris | Nurse Practitioner | 8125 S Walker Ave Ste A, Oklahoma City, OK 73139-9417 | 2018-03-13 |
| 1114426053 | Jennifer Lauren Lee | Nurse Practitioner | 4401 Mcauley Blvd Ste 1100, Oklahoma City, OK 73120-8533 | 2018-02-06 |
| 1295241891 | Rachel Sims | Nurse Practitioner | 8408 Nw 143rd Ter, Oklahoma City, OK 73142-7002 | 2017-12-18 |
| 1417475997 | Tola Janet Suleiman | Nurse Practitioner | 13024 Almond Dr, Oklahoma City, OK 73170-1152 | 2017-09-05 |
| 1477073609 | Mary Ann Hayden | Nurse Practitioner | 3224 Sw 119th Street, Hennessee & Associates, Oklahoma City, OK 73170 | 2017-06-20 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73142 |
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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.