HEATHER R HOLLEY (NPI# 1154521961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154521961 |
| Entity Type | Individual |
| Full Name | HEATHER R HOLLEY |
| Practice Address |
1010 E 45th St Shawnee OK 74804-2202 |
| Practice Telephone | 4052731170 |
| Practice Fax Number | 4052755132 |
| Mailing Telephone | 4052731170 |
| Mailing Fax Number | 4052755132 |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2007-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467950253 | Heather Holley | Speech-Language Pathologist | 1802 Liberty Rd Nw, Roanoke, VA 24012-4643 | 2018-01-26 |
| 1124359013 | Heather Holley | Pediatrics | 9059 W Lake Pleasant Pkwy Ste E-540, Peoria, AZ 85382 | 2010-01-17 |
| 1215074307 | Heather Burns Holley | Dentist | 109 Hospital Dr, Livingston, AL 35470 | 2007-01-30 |
| Street Address |
1010 E 45TH ST |
| City | SHAWNEE |
| State | OK |
| Zip Code | 74804-2202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144331802 | Gateway To Prevention and Recovery, Inc. | Clinic/Center | 1010 E 45th St, Shawnee, OK 74804-2202 | 2006-08-31 |
| 1669090080 | Francis Payton Johnsom | Case Manager/Care Coordinator | 1010 E 45th St, Shawnee, OK 74804-2202 | 2020-07-13 |
| 1730706821 | Harrison Blake Hartzell | Peer Specialist | 1010 E 45th St, Shawnee, OK 74804-2202 | 2020-07-06 |
| 1992349427 | Dominque Latreace Simmons | Assistant Behavior Analyst | 1010 E 45th St, Shawnee, OK 74804-2202 | 2019-10-28 |
| 1215570452 | Rachel Beiermann | Case Manager/Care Coordinator | 1010 E 45th St, Shawnee, OK 74804-2202 | 2019-10-21 |
| 1174179675 | Amber Nichole Randall | Case Manager/Care Coordinator | 1010 E 45th St, Shawnee, OK 74804-2202 | 2019-08-12 |
| 1962962837 | Sydney Reeves | Case Manager/Care Coordinator | 1010 E 45th St, Shawnee, OK 74804-2202 | 2019-03-25 |
| 1083174353 | Tara Lynn Merritt | Peer Specialist | 1010 E 45th St, Shawnee, OK 74804-2202 | 2019-03-22 |
| 1962962233 | Emalee R Staude | Case Manager/Care Coordinator | 1010 E 45th St, Shawnee, OK 74804-2202 | 2019-03-22 |
| 1144704974 | Brooke Anson | Case Manager/Care Coordinator | 1010 E 45th St, Shawnee, OK 74804-2202 | 2018-09-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164063699 | Isaac Benjamin Gray | Student in an Organized Health Care Education/Training Program | 4010 Blaine Road, Shawnee, OK 74804 | 2019-10-06 |
| 1750863775 | Dillon Gibson | Specialist/Technologist | Oklahoma Baptist University, 500 W. University, Shawnee, OK 74804 | 2018-09-06 |
| 1912368242 | Peggy Baker | Occupational Therapist | 7602 N. Kickapoo, Shawnee, OK 74804 | 2016-03-15 |
| 1861731093 | Shariff Mohammed El-assi | Behavioral Analyst | 45 Crown Point, Shawnee, OK 74804 | 2013-02-07 |
| 1902103112 | Action Physical Therapy & Rehabilitation, Pllc | Physical Therapist | 2506 N Harrison, Shawnee, OK 74804 | 2011-02-24 |
| 1639493315 | Oklahoma Em - 1 Medical Services,p.c. | Emergency Medicine | 1102 W.macarthur, Shawnee, OK 74804 | 2010-03-24 |
| 1790989473 | Eastern Oklahoma Radiation Associates, LLC | Radiology | 3700 N Kickapoo Ave Ste 108, Shawnee, OK 74804 | 2007-06-14 |
| 1821210444 | Mickey Sehorn D.d.s., P.C. | Dentist | 1601 Airport Drive, Shawnee, OK 74804 | 2007-05-03 |
| 1760525711 | Leanna Rae Olsen | Registered Nurse | 1500 N. Kickapoo, Suite #4, Shawnee, OK 74804 | 2007-02-15 |
| 1467517920 | Mahmoud Abdel-fattah Khalifa | Pathology | Unity Health Center, 1102 West Macarthur, Shawnee, OK 74804 | 2006-12-26 |
| Find all providers in zip 74804 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689195950 | Kayla Crenshaw | Specialist/Technologist, Other | 1239 S Quincy Ave Apt 13, Tulsa, OK 74120-5277 | 2017-06-27 |
| 1578096376 | Curt A Angel | Specialist/Technologist, Other | 1706 S 84th East Ave, Tulsa, OK 74112-8340 | 2017-04-07 |
| 1962946327 | Anita Lynn Noland | Specialist/Technologist, Other | 1620 Castle Rock Rd, Yukon, OK 73099-4429 | 2016-12-05 |
| 1568916039 | Larissa Waits | Specialist/Technologist, Other | 407 N Bliss Ave, Tahlequah, OK 74464-2502 | 2016-08-12 |
| 1932562261 | Lindsay Kay Kennedy | Specialist/Technologist, Other | 113 Dianna Dr., Yukon, OK 73099 | 2016-04-04 |
| 1437250867 | James Allen Carr | Specialist/Technologist, Other | 10301 E 51st St Ste E, Tulsa, OK 74146-5808 | 2006-09-26 |
| 1588017594 | Kevin Sadosky | Specialist/Technologist, Other | 409 E California Ave, Oklahoma City, OK 73104-4224 | 2016-07-14 |
| 1881052918 | Bianca Lorraine Thompson | Specialist/Technologist, Other | 1311 N Lottie Ave, Oklahoma City, OK 73117-2051 | 2016-02-03 |
| 1386023539 | Joni Cook | Specialist/Technologist, Other | 800 Tucker Dr, Tulsa, OK 74104-9700 | 2015-05-20 |
| 1801283379 | Taylor Hopcraft | Specialist/Technologist, Other | 205 E B St, Jenks, OK 74037-3906 | 2015-04-22 |
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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.