MR. DAVID LEE HOLLOWAY (NPI# 1497922678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497922678 |
| Entity Type | Individual |
| Full Name | MR. DAVID LEE HOLLOWAY |
| Practice Address |
2616 Nicollet Ave Minneapolis MN 55408-1628 |
| Practice Telephone | 6122382344 |
| Practice Fax Number | 6128712811 |
| Mailing Telephone | 6122382344 |
| Mailing Fax Number | 6128712811 |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2008-05-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114436250 | David Holloway | Massage Therapist | 17777 Lower Boones Ferry Rd, Lake Oswego, OR 97035-5398 | 2017-09-20 |
| 1821195777 | David Holloway | Psychiatry & Neurology | 2717 N Grandview Blvd Ste 303, Waukesha, WI 53188-1660 | 2006-09-20 |
| 1922548874 | David Holloway | Counselor | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2017-02-26 |
| 1861797599 | David Wayne Holloway | Dentist | 215 N Washington St, Rome, NY 13440-5705 | 2011-01-11 |
| 1275869901 | David Holloway | Pharmacist | 18207 Midway Rd, Dallas, TX 75287-4902 | 2009-10-30 |
| 1033353743 | David Holloway | Nurse Practitioner | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2009-04-24 |
| 1750300760 | David H. Holloway Jr. | Internal Medicine | 8060 Wolf River Blvd, Memphis, TN 38138-1727 | 2006-07-19 |
| Street Address |
2616 NICOLLET AVE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55408-1628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013925510 | African American Family Services | Case Management | 2616 Nicollet Ave, Minneapolis, MN 55408-1628 | 2006-08-03 |
| 1366870586 | Brandon Lavell Jones | Counselor | 2616 Nicollet Ave, Minneapolis, MN 55408-1628 | 2013-10-25 |
| 1548534845 | Chezron Ford | Counselor | 2616 Nicollet Ave, Minneapolis, MN 55408-1628 | 2012-03-05 |
| 1013226513 | Joleen F. Jones | Counselor | 2616 Nicollet Ave, Minneapolis, MN 55408-1628 | 2010-09-30 |
| 1376859660 | African American Family Services | Health Maintenance Organization | 2616 Nicollet Ave, Minneapolis, MN 55408-1628 | 2010-08-24 |
| 1861708539 | Amanda Dawn Maria Borde | Social Worker | 2616 Nicollet Ave, Minneapolis, MN 55408-1628 | 2010-08-19 |
| 1922331149 | Etoy Wilson | Counselor | 2616 Nicollet Ave, Minneapolis, MN 55408-1628 | 2009-09-08 |
| 1639336159 | Aliduh Jamal Shireh | Counselor | 2616 Nicollet Ave, Minneapolis, MN 55408-1628 | 2008-05-21 |
| 1124295449 | Sean C. Lewin | Counselor | 2616 Nicollet Ave, Minneapolis, MN 55408-1628 | 2008-05-15 |
| 1124295951 | African American Family Services | Community/Behavioral Health | 2616 Nicollet Ave, Minneapolis, MN 55408-1628 | 2008-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548870512 | Community Solutions Services Inc | Counselor | 3043 2nd Ave South, Suite 101, Minneapolis, MN 55408 | 2020-08-05 |
| 1356962740 | Mohammad Mushtaq Khandwala | Student in an Organized Health Care Education/Training Program | 2810 Nicollet Avenue South, Minneapolis, MN 55408 | 2020-04-27 |
| 1861012700 | Open Arms Group Home LLC | Nursing Care | 1 W Lake St Suite 165 Unit 7, Minneapolis, MN 55408 | 2020-04-21 |
| 1538710413 | Yuejuan Bian | Acupuncturist | 2743 Lyndale Ave S, Suite 2, Minneapolis, MN 55408 | 2019-09-23 |
| 1710536081 | Blu Care Inc | Clinic/Center | 2910 Pillsbury Ave S Ste 338, Minneapolis, MN 55408 | 2019-09-09 |
| 1417510165 | Kau Macador Queeglay | Counselor | 621 West Lake Street Suite 350 Lynlake Building, Minneapolis, MN 55408 | 2019-04-18 |
| 1346735875 | Nicole S Ehrenberg | Social Worker | 324 E 35th Street, Minneapolis, MN 55408 | 2018-06-27 |
| 1639681612 | American Family Transportation Inc | Non-emergency Medical Transport (VAN) | 2910 Pillsbury Ave So Suite 434, Minneapolis, MN 55408 | 2017-10-30 |
| 1285181743 | Multilingual Word Inc | Interpreter | 1431 W 32nd St, Minneapolis, MN 55408 | 2016-09-01 |
| 1376906388 | Sama Healthcare | Family Medicine | 2639 Nicollet Ave., Suite 130, Minneapolis, MN 55408 | 2016-03-29 |
| Find all providers in zip 55408 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134596075 | Lauren Nicole Kranig | Case Manager/Care Coordinator | 2445 Park Ave, Minneapolis, MN 55404-3714 | 2015-08-26 |
| 1467857052 | Abdi Jama | Case Manager/Care Coordinator | 1912 Stevens Ave Apt 308, Minneapolis, MN 55403-3883 | 2014-10-26 |
| 1326489691 | Amy E Rock | Case Manager/Care Coordinator | 3208 W Lake St # 102, Minneapolis, MN 55416-4512 | 2013-07-15 |
| 1386960698 | Sarah Hook | Case Manager/Care Coordinator | 1508 E Franklin Ave, Minneapolis, MN 55404-2157 | 2010-04-12 |
| 1700113214 | Dianne Mckenzie | Case Manager/Care Coordinator | 1309 Girard Ave N, Minneapolis, MN 55411-3128 | 2009-11-05 |
| 1982738555 | Sharlene Mae Walczak | Case Manager/Care Coordinator | 2003 Central Ave Ne, Minneapolis, MN 55418-4531 | 2007-03-15 |
| 1457983124 | Tara Marie Stevens | Case Manager/Care Coordinator | 2445 Park Ave, Minneapolis, MN 55404-3714 | 2020-02-10 |
| 1518599281 | Brittany Mae Fisher | Case Manager/Care Coordinator | 2445 Park Ave, Minneapolis, MN 55404-3714 | 2020-02-10 |
| 1568092062 | Renzo Mikolaj Junius Sauer | Case Manager/Care Coordinator | 3333 University Ave Se, Minneapolis, MN 55414-3325 | 2020-01-23 |
| 1700358090 | Ann Marie Crosby | Case Manager/Care Coordinator | 2400 W 64th St, Minneapolis, MN 55423-1001 | 2018-12-26 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55408 |
Please comment or provide details below to improve the information on MR. DAVID LEE HOLLOWAY.
| 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.