MERCEDES LUCILLE HOLLAND (NPI# 1205855889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205855889 |
| Entity Type | Individual |
| Full Name | MERCEDES LUCILLE HOLLAND |
| Credential | OB/GYN NP |
| Practice Address |
2076 Wente Way San Jose CA 95125 |
| Mailing Address |
Po Box 4756 San Jose CA 95150-4756 |
| Practice Telephone | 4088342174 |
| Mailing Telephone | 4088342171 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
288655 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2076 WENTE WAY |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285245431 | Carmen J. Frank | Marriage & Family Therapist | 913 Willow St., Suite 103, San Jose, CA 95125 | 2020-08-12 |
| 1376197848 | Mariam Samir Abadir | Dentist | 1670 Westwood Dr. Suite K, San Jose, CA 95125 | 2019-08-01 |
| 1750870747 | Gertrud Stojancic | Massage Therapist | 3315 Almaden Expressway, # 27/29, San Jose, CA 95125 | 2018-05-04 |
| 1659809259 | Edward Escoto | Assistant Behavior Analyst | 2075 Lincoln Ave Ste D, San Jose, CA 95125 | 2017-05-25 |
| 1104288422 | Kristin Ann Dessau | Counselor | 1261 Lincoln Avenue, Suite 202, San Jose, CA 95125 | 2016-03-25 |
| 1275964488 | Indian Health Center of Santa Clara Valley | Clinic/Center | 1685 Westwood Dr Ste 1, San Jose, CA 95125 | 2013-12-13 |
| 1598042905 | Walgreens | Exclusive Provider Organization | 2585 Almaden Road, San Jose, CA 95125 | 2011-11-14 |
| 1881981488 | Kevin Jia-chian Yen | Dentist | 1660 Willow St Ste 5, San Jose, CA 95125 | 2011-07-02 |
| 1699093724 | Lokahi Acupuncture, Inc. | Acupuncturist | 1688 Willow Street, Suite B, San Jose, CA 95125 | 2010-05-13 |
| 1538482468 | Mark Lucius Yoslow | Psychologist | 970 Minnesota Avenue, San Jose, CA 95125 | 2010-03-06 |
| Find all providers in zip 95125 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376534008 | Beverly J Elemen | Nurse Practitioner | 276 International Circle, San Jose, CA 95119 | 2005-11-02 |
| 1023008208 | Martha Maupin Medlicott | Nurse Practitioner | 276 International Cir, San Jose, CA 95119-1130 | 2005-10-27 |
| 1518362466 | Kelsey Lynd | Nurse Practitioner | 2400 Samaritan Dr Ste 105, San Jose, CA 95124-3910 | 2014-11-04 |
| 1770823866 | Emily Johannah Peters-limbeck | Nurse Practitioner | 125 N Jackson Ave, San Jose, CA 95116-1903 | 2013-02-26 |
| 1184813958 | Angelica Holden | Nurse Practitioner | 55 E Julian St, San Jose, CA 95112-4007 | 2007-10-17 |
| 1235207598 | Gloria Luz Sanchez | Nurse Practitioner | 55 E Julian St, San Jose, CA 95112-4007 | 2006-12-02 |
| 1952479214 | Lisa Friedrichs | Nurse Practitioner | 55 E Julian St, San Jose, CA 95112-4007 | 2006-12-02 |
| 1497820393 | Leila Van Gelder | Nurse Practitioner | 276 International Circle, Kaiser Permanente Dept Obgyn, San Jose, CA 95119 | 2006-11-24 |
| 1487746772 | Catherine Ann Allen | Nurse Practitioner | 260 International Cir, San Jose, CA 95119-1130 | 2006-09-28 |
| 1508968918 | Cynthia Liu | Nurse Practitioner | 276 International Circle, San Jose, CA 95119 | 2006-09-05 |
| Find all providers in SAN JOSE | ||||
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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.