DEIDRA S HOLLAND


Address: 360 Colborne St, Spps Admin, Saint Paul, MN 55102-3228
Phone: 9529562467

DEIDRA S HOLLAND (NPI# 1326294406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326294406
Entity Type Individual
Full Name DEIDRA S HOLLAND
Credential MSOT, ED.D.
Practice Address 360 Colborne St
Spps Admin
Saint Paul
MN 55102-3228
Mailing Address 4817 Dunberry Ln
Edina
MN 55435-1536
Practice Telephone 9529562467
Mailing Telephone 9529562467
Enumeration Date 2008-08-08
Last Update Date 2013-07-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225X00000X Occupational Therapist 103636 MN Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 225XP0200X Occupational Therapist
Specialization: Pediatrics
103636 MN Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers DEIDRA HOLLAND

NPI Name Taxonomy Address Enumeration
1154891828 Deidra Diane Holland Licensed Practical Nurse 90 Rush St, Lexington, TN 38351-2241 2018-11-26

Office Location

Street Address 360 COLBORNE ST
SPPS ADMIN
City SAINT PAUL
State MN
Zip Code 55102-3228

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194788810 Janet Lowe Nurse Practitioner 360 Colborne St, Saint Paul, MN 55102-3228 2006-04-11
1467513887 Independent School District 625 Local Education Agency (LEA) 360 Colborne St, Saint Paul, MN 55102-3228 2006-12-12
1376604793 Independent School District 625 Local Education Agency (LEA) 360 Colborne St, Saint Paul, MN 55102-3228 2006-12-12
1831259449 Independent School District 625 Local Education Agency (LEA) 360 Colborne St, Saint Paul, MN 55102-3228 2006-12-12
1952480543 Jennifer Lee Nordstrand Nurse Practitioner 360 Colborne St, Saint Paul, MN 55102-3228 2006-11-03
1467549337 Kari Thein Nurse Practitioner 360 Colborne St, Saint Paul, MN 55102-3228 2006-10-10
1104870906 Michelle Mauder Nurse Practitioner 360 Colborne St, Saint Paul, MN 55102-3228 2006-05-19
1992761969 Debra Klein Nurse Practitioner 360 Colborne St, Saint Paul, MN 55102-3228 2006-04-26
1457316424 Kerrie H Samayoa Nurse Practitioner 360 Colborne St, Saint Paul, MN 55102-3228 2006-04-20
1134183528 Denise Ann Herrmann Nurse Practitioner 360 Colborne St, Saint Paul, MN 55102-3228 2006-04-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720623366 Ning Wu Acupuncturist Tcm Health Center, 613 Grand Ave., St. Paul, MN 55102 2019-11-07
1730730615 Tianwei Guo Acupuncturist 613 Grand Avenue, Saint Paul, MN 55102 2019-09-23
1194374850 Justin Crawford Diehl Counselor 976 Juno Avenue, Saint Paul, MN 55102 2019-09-05
1699329169 Elisabeth Johanna Wurtmann Genetic Counselor, MS 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 2019-08-01
1265907083 Lillia Budd Nurse Practitioner 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 2018-10-08
1922505098 Women of Nations Substance Abuse Rehabilitation Facility 73 Leech Street, St. Paul, MN 55102 2018-04-06
1609371939 Courtney Marie Klinkhammer Student in an Organized Health Care Education/Training Program 1026 West Seventh Street, St. Paul, MN 55102 2018-03-28
1427429372 Compass Pathology and Consulting Clinical Medical Laboratory 360 Sherman St Suite 400b, St. Paul, MN 55102 2015-10-16
1639550494 Daniel Delapp Speech-Language Pathologist United Hospital 333 Smith Avenue N, Mail Route 60104, St. Paul, MN 55102 2015-06-17
1124419940 Suzanne Carl Speech-Language Pathologist 360 Colborne Avenue, St. Paul, MN 55102 2015-02-16
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Taxonomy Information

Taxonomy Code 225X00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist

Taxonomy Definition

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306490628 Dianna Knack Occupational Therapist 678 Snelling Ave S, Saint Paul, MN 55116-2600 2019-07-25
1578050753 Erica Mc Nearney Occupational Therapist 360 Sherman St Ste 470, Saint Paul, MN 55102-2988 2018-04-13
1740787985 Ka Neng Vue Occupational Therapist 589 Lawson Ave E, Saint Paul, MN 55130-3943 2018-04-12
1679937049 Katelyn Meyers Occupational Therapist 740 Victoria St S, Saint Paul, MN 55102-4271 2016-04-11
1497144299 Benjamin J Barrett Occupational Therapist 716 Hague Ave, Apt 7, Saint Paul, MN 55104-7228 2015-01-15
1780929851 Courtney Nicole Kent Occupational Therapist 900 Ocean St, Saint Paul, MN 55106-3448 2012-11-30
1639437056 Emmy K Vadnais Occupational Therapist 1294 Blair Ave, Saint Paul, MN 55104-2007 2012-04-24
1528374659 Tamara Suzann Norris Occupational Therapist 614 5th St, Saint Paul, KS 66771-4012 2010-08-26
1124342985 Sally Sue Meinecke Occupational Therapist 1005 Farnum St, Saint Paul, NE 68873-1913 2010-03-23
1568659829 Erin Marie Kryzer Occupational Therapist 285 Brimhall St, Saint Paul, MN 55105-2427 2007-10-01
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City SAINT PAUL
Zip Code 55102

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Dataset Information

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.

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