JULIANNE HOLLIST (NPI# 1356976039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356976039 |
Entity Type | Individual |
Full Name | JULIANNE HOLLIST |
Credential | NP-C |
Practice Address |
55 W Willowbrook Dr Ste 103 Meridian ID 83646-3242 |
Mailing Address |
55 W Willowbrook Dr Ste 103 Meridian ID 83646-3242 |
Practice Telephone | 2084029956 |
Mailing Telephone | 2084029956 |
Enumeration Date | 2020-03-03 |
Last Update Date | 2020-04-27 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
63993 | ID | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
63993 | ID | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
55 W WILLOWBROOK DR STE 103 |
City | MERIDIAN |
State | ID |
Zip Code | 83646-3242 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609327022 | Finding Home Healthcare, Inc. | Clinic/Center | 55 W Willowbrook Dr Ste 103, Meridian, ID 83646 | 2016-10-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982202743 | Jayson Paul Smith | Nurse Practitioner | 1545 East Leighfield Dr., Meridian, ID 83646 | 2020-10-14 |
1356977466 | Tanabell Health Services Inc | Assisted Living Facility | 2584 E Magic View Dr, Meridian, ID 83646 | 2020-03-20 |
1801351176 | Tanabell Health Services, Inc. | Skilled Nursing Facility | 2656 E Magicview Dr, Meridian, ID 83646 | 2019-01-31 |
1306314323 | Cr Smiles - Meridian Dental Care LLC | Clinic/Center | 1500 W Cayuse Creek Dr, #100, Meridian, ID 83646 | 2018-11-07 |
1639644107 | Joseph Anomalay | Counselor | 6700 N. Linder Rd, Ste 156 #257, Meridian, ID 83646 | 2018-10-10 |
1275015950 | Mcmillan Family Dental Pllc | Clinic/Center | 1720 W. Mcmillan, Meridian, ID 83646 | 2018-08-30 |
1952857161 | Mitchell Truong | Pharmacist | 622 E. Ustick Road, Caldwell, ID 83646 | 2016-08-28 |
1134511264 | Brittany Laub | Massage Therapist | 2572 N Stokesberry Pl #300, Meridian, ID 83646 | 2015-02-26 |
1194117366 | Westfall Ventures, Inc | Health Maintenance Organization | 2572 N. Stokesberry Pl, Meridian, ID 83646 | 2015-02-25 |
1144611872 | Jobeth Deanna Kuchar | Dietitian, Registered | 1465 Deer Crest Street, Building P 101, Meridian, ID 83646 | 2015-02-17 |
Find all providers in zip 83646 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750889416 | Katherine Bolden | Nurse Practitioner | 1666 Highway 19 S, Meridian, MS 39301-8209 | 2018-01-29 |
1538641204 | Whitni Lauren Pinkerton | Nurse Practitioner | 4909 Great River Drive, Meridian, MS 39305 | 2018-08-30 |
1982115309 | Laura Eaton | Nurse Practitioner | 4740 N Penngrove Way, Ste 100, Meridian, ID 83646 | 2017-10-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194356022 | Sabrina Bojo | Nurse Practitioner | 1576 S Oriole Way, Boise, ID 83709-1325 | 2020-01-29 |
1033641154 | Tyler Jue | Nurse Practitioner | 1055 N Curtis Rd # S6, Boise, ID 83706-1309 | 2017-03-29 |
1285165399 | Corine Faught | Nurse Practitioner | 1122 Starfire St, Twin Falls, ID 83301-3146 | 2017-03-21 |
1891310892 | Sean E Cook | Nurse Practitioner | 211 E Logan St, Caldwell, ID 83605-4882 | 2020-06-15 |
1205466281 | Jeanna Rae Rendo | Nurse Practitioner | 811 Nw 12th St, Fruitland, ID 83619-2268 | 2020-01-18 |
1205498201 | Jessica Inez Gratzer | Nurse Practitioner | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 | 2019-07-01 |
1326520719 | Jose Manuel Celedon | Nurse Practitioner | 508 E Florida Ave, Nampa, ID 83686-5823 | 2018-08-31 |
1669901245 | Stephanie Larie Thompson | Nurse Practitioner | 1510 12th Ave Rd, Ste 200, Nampa, ID 83686 | 2017-06-07 |
1881129146 | Sara Jean Smith | Nurse Practitioner | 5966 W Curtisian Ave, Boise, ID 83704 | 2017-04-25 |
1447707120 | Sherri Siegel | Nurse Practitioner | 5966 W Curtisian Ave, Boise, ID 83704-8801 | 2016-09-09 |
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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.