DR. HOLLY J ENGELSTAD (NPI# 1295094050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295094050 |
| Entity Type | Individual |
| Full Name | DR. HOLLY J ENGELSTAD |
| Credential | M.D. |
| Practice Address |
719 Thompson Ln Ste 30330 Nashville TN 37204 |
| Mailing Address |
719 Thompson Ln Ste 30330 Nashville TN 37204-4701 |
| Practice Telephone | 6153223000 |
| Mailing Telephone | 6153223000 |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2020-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
57046 | TN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
719 THOMPSON LN STE 30330 |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922048321 | Wendi R. Mason | Nurse Practitioner | 719 Thompson Ln Ste 30330, Nashville, TN 37204-4701 | 2006-06-07 |
| 1134766975 | Charina J Pelayo | Nurse Anesthetist, Certified Registered | 719 Thompson Ln Ste 30330, Nashville, TN 37204-4701 | 2019-11-27 |
| 1265085237 | Stacey Moore | Social Worker | 719 Thompson Ln Ste 30330, Nashville, TN 37204-4701 | 2019-07-18 |
| 1205344009 | Redor Nuri Abdullah | Nurse Practitioner | 719 Thompson Ln Ste 30330, Nashville, TN 37204 | 2018-01-14 |
| 1316454820 | Shelby Sanford Woltjen | Nurse Anesthetist, Certified Registered | 719 Thompson Ln Ste 30330, Nashville, TN 37204-4701 | 2018-01-05 |
| 1265954911 | Mary Elizabeth Wood | Psychologist | 719 Thompson Ln Ste 30330, Nashville, TN 37204-4701 | 2017-07-14 |
| 1902255367 | Alexander H De Castro-abeger | Internal Medicine | 719 Thompson Ln Ste 30330, Nashville, TN 37204-4701 | 2016-06-07 |
| 1639527559 | Sylvia C Hagberg-fitch | Nurse Practitioner | 719 Thompson Ln Ste 30330, Nashville, TN 37204-4701 | 2016-06-01 |
| 1285019091 | Carlos Alberto Plancarte | Pediatrics | 719 Thompson Ln Ste 30330, Nashville, TN 37204-4701 | 2015-07-22 |
| 1750761516 | Stuart Abel | Surgery | 719 Thompson Ln Ste 30330, Nashville, TN 37204-4701 | 2015-06-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992304893 | Results-ast Jv, LLC | Physical Therapist | 2659 8th Avenue South, Nashville, TN 37204 | 2020-10-21 |
| 1811516933 | Kinsley Ojukwu | Student in an Organized Health Care Education/Training Program | Oho Primary Care North, 719 Thompson Ln Suite 20400, Nashville, TN 37204 | 2020-04-09 |
| 1649777350 | Ian Bentley | Student in an Organized Health Care Education/Training Program | 719 Thompson Lane, Pod B, Nashville, TN 37204 | 2018-04-09 |
| 1134622160 | Joshua Shane Carty | Student in an Organized Health Care Education/Training Program | 719 Thompson Ln Pod A, Nashville, TN 37204 | 2018-03-15 |
| 1205340197 | Cam LLC | Chiropractor | 2694 Fessey Ct., Nashville, TN 37204 | 2017-11-30 |
| 1679097141 | Lacey Cross | Nurse Practitioner | 2694 Fessey Court, Nashville, TN 37204 | 2017-07-27 |
| 1346763042 | Lucy Elaine Davidson | Counselor | 416 East Iris Dr., Nashville, TN 37204 | 2017-07-25 |
| 1316468358 | Jasmine Kennedy Jester | Counselor | 717 Hart Lane, Nashville, TN 37204 | 2017-06-29 |
| 1447789649 | Jessica Ramey | Counselor | 4623 Trousdale Drive, Nashville, TN 37204 | 2017-06-09 |
| 1023555893 | Anna Claire Lowder | Marriage & Family Therapist | 701 Bradford Avenue, Nashville, TN 37204 | 2017-01-31 |
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| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619265956 | Susan Marie Lopata | Pediatrics | 2200 Childrens Way # 11111, Nashville, TN 37232-0005 | 2011-07-20 |
| 1215138326 | Lane Ashley Douglass | Pediatrics | 2300 Patterson St., Nashville, TN 37203-0004 | 2007-05-29 |
| 1679787204 | Stephaine Hale Walker | Pediatrics | Vanderbilt Childrens Hospital, Dept of Neonatology, 11111 Doctor's Office Tower, Nashville, TN 37232-0001 | 2007-05-10 |
| 1518081793 | Lara A. Mckee | Pediatrics | 2201 Murphy Ave #207, Nashville, TN 37203 | 2007-03-16 |
| 1508913310 | Alicia Leadford | Pediatrics | 2000 Church St Box 110, 325 Mid State Building, Nashville, TN 37236-0001 | 2007-01-04 |
| 1356498174 | Elizabeth Harrelson | Pediatrics | 11111 Dot Department of Neonatology, 2200 Children's Way, Nashville, TN 37232-0001 | 2007-01-04 |
| 1134136625 | Susan B. Campbell | Pediatrics | 2201 Murphy Ave Suite 207, Nashville, TN 37203-1538 | 2006-08-01 |
| 1942227467 | Jonathan D Gitlin | Pediatrics | 2200 Childrens Way, Ste 2407, Vanderbilt Childrens Hospital, Nashville, TN 37232-9900 | 2006-07-17 |
| 1639533086 | Jane Hwang | Pediatrics | 3601 The Vanderbilt Clinic, Nashville, TN 37232-1512 | 2016-04-12 |
| 1962715870 | Mhd Wael Alrifai | Pediatrics | 2200 Childrens Way, Dot 11111, Nashville, TN 37232 | 2010-07-20 |
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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.