HOLLY JOHNSON-RODRIGUEZ (NPI# 1487961140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487961140 |
| Entity Type | Individual |
| Full Name | HOLLY JOHNSON-RODRIGUEZ |
| Practice Address |
480 Central Ave Pearl Harbor HI 96860-4908 |
| Practice Telephone | 8084711866 |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2010-09-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
RN0000154657 | TN | Nursing Service Providers |
| Street Address |
480 CENTRAL AVE |
| City | PEARL HARBOR |
| State | HI |
| Zip Code | 96860-4908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992311930 | Branch Medical Clinic Naval Shipyard Pearl Harbor | Clinic/Center | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2020-09-16 |
| 1144841842 | Sue Ellen Alden-rudin | Registered Nurse | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2020-05-04 |
| 1982244489 | Lindsey Serapion-peralta | Dental Hygienist | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2020-01-13 |
| 1609429364 | Michelle Marie Pallera Lobaton | Registered Nurse | 480 Central Ave, Pearl Harbor, HI 96860 | 2019-07-22 |
| 1548720451 | Kimi Jo Nelson | Registered Nurse | 480 Central Ave, Pearl Harbor, HI 96860 | 2019-03-25 |
| 1841761525 | Heather Nycole Matz | Registered Nurse | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2018-12-06 |
| 1184192494 | Edwin Ernest Stumpf II | Registered Nurse | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2018-11-05 |
| 1902380413 | Lystra Irene Braumuller | Case Manager/Care Coordinator | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2018-09-20 |
| 1942783121 | Jennifer Yadao | Registered Nurse | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2018-09-13 |
| 1750860318 | Genine Marie Gorman | Registered Nurse | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2018-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770075970 | April Box | Registered Nurse | Naval Health Clinic Hawii, 480 Central Avenue, Pearl Harbor, HI 96860 | 2018-06-04 |
| 1760985535 | Daniel Thomas Weinberg | General Practice | 1430 Morton St Bldg 619, Jbphh, HI 96860 | 2018-03-17 |
| 1003325366 | Justin Hesse | Military Health Care Provider | Building 17 Bishop Point, Pearl Harbor, HI 96860 | 2017-09-29 |
| 1982057816 | John Alois Kustermann | Family Medicine | 490 Central Avenue Bldg 281, Honolulu Military Entrance Processing Station, Pearl Harbor, HI 96860 | 2016-07-15 |
| 1104290519 | Carlton Jacob Maughan | Military Health Care Provider | Bldg 17 Bishops Point, Pearl Harbor, HI 96860 | 2015-11-23 |
| 1588079206 | Naval Health Clinic Hawaii | Military/U.S. Coast Guard Pharmacy | Makalapa Rd, Bldg 1407, Pearl Harbor, HI 96860 | 2014-06-23 |
| 1922349968 | Jose Israel Lopez | Military Health Care Provider | Mdsu-1 Bishop Point, Building 17, Pearl Harbor, HI 96860 | 2013-03-14 |
| 1790056620 | Lesley Brooke Dorsey | Physician Assistant | 408 Central Ave, Jbphh, HI 96860 | 2012-01-24 |
| 1184914061 | William A Talbott | Military Health Care Provider | 850 Ticonderoga St, Pearl Harbor, HI 96860 | 2011-04-13 |
| 1275860603 | Michael J. Rodriguez | Military Health Care Provider | 822 Clark St., Nssc Medical Suite 400, Pearl Harbor, HI 96860 | 2009-11-05 |
| Find all providers in zip 96860 | ||||
| Taxonomy Code | 163WC0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497742696 | Wendy Mutchler Mccraw | Registered Nurse | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2005-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194357921 | Emily Rosskopf | Registered Nurse | 91-773 Launahele St, Ewa Beach, HI 96706-4756 | 2020-02-10 |
| 1356973424 | David Hsin Shan Lee | Registered Nurse | 87-1113 Oheohe St, Waianae, HI 96792-3457 | 2020-02-06 |
| 1194215244 | Stacy Wilson | Registered Nurse | 1601 Ulupuni St, Kailua, HI 96734-4452 | 2018-05-15 |
| 1558983536 | Sara Michelle Allen-dutcher | Registered Nurse | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2020-05-12 |
| 1235675877 | Kevin Lewis | Registered Nurse | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 | 2017-01-06 |
| 1447792981 | Elizabeth Ashley Martin Bhatta | Registered Nurse | 91-1125 Kaileonui St, Ewa Beach, HI 96706-6048 | 2016-11-15 |
| 1366875841 | Michelle Marie Edwards | Registered Nurse | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2013-08-19 |
| 1205180783 | John-michael Fowler | Registered Nurse | 755 Scott Circle, Jbphh, HI 96853 | 2012-11-05 |
| 1275613424 | Martin Camacho | Registered Nurse | 1301 Punchbowl St, Hospitalist Program, Honolulu, HI 96813-2402 | 2006-10-16 |
| City | PEARL HARBOR |
| Zip Code | 96860 |
Please comment or provide details below to improve the information on HOLLY JOHNSON-RODRIGUEZ.
| 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.