JADE HOLMAN (NPI# 1558750364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558750364 |
| Entity Type | Individual |
| Full Name | JADE HOLMAN |
| Credential | FNP-C |
| Practice Address |
1475 Kisker Rd Saint Charles MO 63304-8781 |
| Practice Telephone | 6364987400 |
| Mailing Telephone | 6364987400 |
| Mailing Fax Number | 6364987477 |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2019-01-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 2015000986 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2015000986 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1475 KISKER RD |
| City | SAINT CHARLES |
| State | MO |
| Zip Code | 63304-8781 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245238401 | Melanie Nicole Pilkenton | Physician Assistant | 1475 Kisker Rd, Saint Charles, MO 63304-8781 | 2005-07-12 |
| 1487253662 | Lindsay Tyree | Physical Therapist | 1475 Kisker Rd, Saint Charles, MO 63304-8781 | 2020-10-20 |
| 1144714023 | Cecelia Pratt | Registered Nurse | 1475 Kisker Rd, Saint Charles, MO 63304-8781 | 2018-06-14 |
| 1558891747 | Katie Mocca | Physical Therapist | 1475 Kisker Rd, Saint Charles, MO 63304-8781 | 2017-06-19 |
| 1801348339 | Lindsey Catherine Martin | Registered Nurse | 1475 Kisker Rd, Saint Charles, MO 63304-8781 | 2016-11-01 |
| 1083168801 | Forefront Dermatology, S.c. | Dermatology | 1475 Kisker Rd, Suite 270, Saint Charles, MO 63304 | 2016-08-10 |
| 1528421260 | Ssm St. Charles Clinic Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 1475 Kisker Rd, Suite 200, Saint Charles, MO 63304-8781 | 2016-03-31 |
| 1841663747 | Michelle L Wolynski | Nurse Practitioner | 1475 Kisker Rd, Suite 200, Saint Charles, MO 63304-8781 | 2015-11-02 |
| 1558733113 | Melissa Irvine | Nurse Practitioner | 1475 Kisker Rd, Saint Charles, MO 63304-8781 | 2015-10-22 |
| 1437573920 | Ssm Medical Group Inc. | Orthopaedic Surgery | 1475 Kisker Rd, Suite 100, Saint Charles, MO 63304 | 2014-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382127 | Susan Brockmeyer | Occupational Therapist | 600 Breeze View Ln, Weldon Springs, MO 63304 | 2020-09-29 |
| 1235743097 | Brett Allan Lancaster | Pharmacist | 3801 Old Highway 94, St. Peters, MO 63304 | 2020-08-31 |
| 1356834683 | Emily Elizabeth Blau | Chiropractor | 5055 State Highway N, 108, Cottleville, MO 63304 | 2018-06-12 |
| 1033606769 | Christina Marie Crain | Counselor | 501 Chele Dr, Saint Charles, MO 63304 | 2018-04-18 |
| 1063875532 | Amy L Ney-carder | Speech-Language Pathologist | 5199 State Highway N, St. Peters, MO 63304 | 2016-04-01 |
| 1609127745 | Lawlor Chiropractic LLC | Chiropractor | 6028 Weldon Spring Parkway, Weldon Spring, MO 63304 | 2012-09-28 |
| 1043588510 | Esther Lima | Pharmacist | 3801 S Harvester Rd, St Peters, MO 63304 | 2011-12-12 |
| 1922318245 | Sonya Paramore | Counselor | 1480 Woodstone Drive, Suite 211, Saint Charles, MO 63304 | 2010-10-20 |
| 1871624445 | Joylynn Anderson | Social Worker | 5931 Highway 94 South, Saint Charles, MO 63304 | 2007-03-08 |
| 1821155706 | Cynthia Lynn Sitarski | Occupational Therapist | 4545 Central School Road, St. Charles, MO 63304 | 2007-01-02 |
| Find all providers in zip 63304 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164049698 | Amanda J Ben | Nurse Practitioner | 23 Terre Verte Ct, Saint Charles, MO 63304-1217 | 2020-06-30 |
| 1790306421 | Intentional Living Primary Health Care, LLC | Nurse Practitioner | 1550 Wall St Ste 223, Saint Charles, MO 63303-3548 | 2020-05-05 |
| 1073160818 | Denise Jacqueline Wagster | Nurse Practitioner | 51 Destin Ct, Saint Charles, MO 63303-7314 | 2019-08-26 |
| 1013560697 | Kim Locklear | Nurse Practitioner | 804 Pecan Hill Dr, Saint Charles, MO 63304-5053 | 2019-07-22 |
| 1740751387 | Kelsey Lauren Ring | Nurse Practitioner | 217 Kingdom Dr, Saint Charles, MO 63301-4586 | 2018-12-07 |
| 1255821302 | Melinda R Winfield | Nurse Practitioner | 1313 Park Ct, Saint Charles, MO 63303 | 2018-05-15 |
| 1952813958 | Angela Kristeen Mcdonnell | Nurse Practitioner | 330 1st Capitol Dr Ste 470, Saint Charles, MO 63301-2847 | 2017-10-30 |
| 1538699244 | Jeffrey Terry Vacek | Nurse Practitioner | 725 S 5th St, Saint Charles, MO 63301-2913 | 2017-06-14 |
| 1730627704 | Rachael Wichern | Nurse Practitioner | 711 Veterans Memorial Pkwy, Saint Charles, MO 63303-2106 | 2017-02-09 |
| 1134671845 | Pracedes Del Mundo Vergara | Nurse Practitioner | 5n170 Dover Hill Rd, Saint Charles, IL 60175-5109 | 2016-10-28 |
| Find all providers in SAINT CHARLES | ||||
| City | SAINT CHARLES |
| Zip Code | 63304 |
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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.