ASHLEY ELAINE HOLLY (NPI# 1215275409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215275409 |
Entity Type | Individual |
Full Name | ASHLEY ELAINE HOLLY |
Credential | R.D. |
Practice Address |
1900 Woodland Dr Manitowoc WI 54220-9662 |
Mailing Address |
1801 Spruce Dr Manitowoc WI 54220-1427 |
Practice Telephone | 9203236890 |
Enumeration Date | 2013-01-22 |
Last Update Date | 2013-08-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | 2544-29 | WI | Dietary & Nutritional Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | CERTIFIED DIETITIAN | 2544-29 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629332010 | Ashley Bartels Holly | Surgery | 2750 Clay Edwards Dr Ste 312, North Kansas City, MO 64116-3256 | 2012-06-29 |
1659898070 | Ashley Holly | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2017-08-25 |
1942682646 | Ashley Alissa Holly | Surgery | 1200 E Michigan Ave, Suite 655, Lansing, MI 48912-1800 | 2015-06-18 |
Street Address |
1900 WOODLAND DR |
City | MANITOWOC |
State | WI |
Zip Code | 54220-9662 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790160729 | Ashley Micksch | Nurse Practitioner | 1900 Woodland Dr, Manitowoc, WI 54220-9662 | 2015-07-20 |
1356724686 | Abbey Bubolz | Dietitian, Registered | 1900 Woodland Dr, Manitowoc, WI 54220-9662 | 2015-07-06 |
1891198735 | Jennifer L. Weier | Nurse Practitioner | 1900 Woodland Dr, Manitowoc, WI 54220-9662 | 2014-10-07 |
1841495058 | Jeremy Robert Anclam | Internal Medicine | 1900 Woodland Dr, Manitowoc, WI 54220-9662 | 2007-06-18 |
1932217924 | James W Hoftiezer | Internal Medicine | 1900 Woodland Dr, Manitowoc, WI 54220-9662 | 2006-08-29 |
1639287618 | Michael D Hoftiezer | Internal Medicine | 1900 Woodland Dr, Manitowoc, WI 54220-9662 | 2006-08-29 |
1891803862 | Pradeep Giriyappa | Internal Medicine | 1900 Woodland Dr, Manitowoc, WI 54220-9662 | 2006-08-29 |
1780792887 | William Alvarez | Internal Medicine | 1900 Woodland Dr, Manitowoc, WI 54220-9662 | 2006-08-28 |
1073621199 | Mary A Govier | Internal Medicine | 1900 Woodland Dr, Manitowoc, WI 54220-9662 | 2006-08-28 |
1568448025 | Robert R Cornwell | Internal Medicine | 1900 Woodland Dr, Manitowoc, WI 54220-9662 | 2005-12-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235614843 | Katherine Borchardt | Registered Nurse | 3520 Foxfire Ct, Manitowoc, WI 54220 | 2018-09-28 |
1285128215 | Aurora Pharmacy Inc | Pharmacy | 3509 Dewey Street, Suite 100, Manitowoc, WI 54220 | 2018-06-22 |
1477937274 | Baycare Clinic LLP | Psychiatry & Neurology | 4801 Expo Drive, Manitowoc, WI 54220 | 2015-07-13 |
1831593821 | Brittany Camille Schultz | Acupuncturist | 2510 Washington Street, Manitowoc, WI 54220 | 2014-10-20 |
1710311261 | Brian E Weitz | Physical Therapy Assistant | 960 S. Rapids Rd., Manitowoc, WI 54220 | 2013-09-01 |
1134499080 | Total Renal Care Inc | Clinic/Center | 3303 Dewey St, Manitowoc, WI 54220 | 2012-01-10 |
1679858534 | Lisa M Noworatzky | Marriage & Family Therapist | 926 S. 8th St., Manitowoc, WI 54220 | 2011-10-11 |
1306177225 | Cynthia Fay Wenzel | Licensed Practical Nurse | 915 East Linden Avenue, Manitowoc, WI 54220 | 2010-01-15 |
1851550628 | Roundys Supermarkets Inc | Pharmacy | 3300 Calumet Ave, Manitowoc, WI 54220 | 2008-06-05 |
1851566079 | Jennifer C Mcwilliams | Registered Nurse | 1004 Nth 8th St., Manitowoc, WI 54220 | 2008-04-29 |
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Taxonomy Code | 133V00000X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietitian, Registered |
A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568000859 | Natasha Marie Zill | Dietitian, Registered | 5028 Brookfield Cir, Manitowoc, WI 54220-9362 | 2019-12-17 |
1841834678 | Stephen Robert Seifert | Dietitian, Registered | 3415 Custer St, Manitowoc, WI 54220-4324 | 2019-11-05 |
1245889054 | Jeanne Edwards | Dietitian, Registered | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2019-09-05 |
1356724686 | Abbey Bubolz | Dietitian, Registered | 1900 Woodland Dr, Manitowoc, WI 54220-9662 | 2015-07-06 |
1174776017 | Patricia Lynn Tessmer | Dietitian, Registered | 600 York St, Manitowoc, WI 54220-6825 | 2008-10-23 |
1841498870 | Linda Marie Miner | Dietitian, Registered | 600 York St, Manitowoc, WI 54220-6825 | 2007-07-11 |
1700080074 | Jaime Danielle Schultz | Dietitian, Registered | 600 York St, Manitowoc, WI 54220-6845 | 2007-06-12 |
1245269448 | Cher Lynne Zeddies | Dietitian, Registered | 600 York St, Manitowoc, WI 54220-6845 | 2006-07-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962001909 | Wendy M Barth | Dietitian, Registered | N3035 Sidney Ave, Neillsville, WI 54456-7037 | 2020-10-21 |
1255946166 | Rachael Omdoll | Dietitian, Registered | 700 Airview Dr, Palmyra, WI 53156-9204 | 2020-09-09 |
1194336669 | Carly Duerst | Dietitian, Registered | W6068 Pioneer Rd, New Glarus, WI 53574-9735 | 2020-08-10 |
1730799636 | Bailey May Knutson | Dietitian, Registered | N44w6025 Hamilton Rd, Cedarburg, WI 53012-2454 | 2020-08-05 |
1538778550 | Kirsten White | Dietitian, Registered | W3021 Cara Way, Appleton, WI 54915-3991 | 2020-07-27 |
1780293696 | Samantha Jo Johnson | Dietitian, Registered | 2854 Greenbrier Rd, Green Bay, WI 54311-6528 | 2020-07-27 |
1487272977 | Sara Elizabeth Flitter | Dietitian, Registered | W437 Clement Cir, Campbellsport, WI 53010-1846 | 2020-07-10 |
1821616517 | Emily Anne Oschmann | Dietitian, Registered | 630 Woodland Cir, Waterford, WI 53185-2885 | 2020-07-08 |
1982221180 | Emilie Williamson | Dietitian, Registered | 1340 S 72nd St, West Allis, WI 53214-3122 | 2020-07-03 |
1811512916 | Nicole Lehtinen | Dietitian, Registered | 20200 Poplar Creek Pkwy Unit 116n, Brookfield, WI 53045-2163 | 2020-06-15 |
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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.