MRS. CAROLYN JEAN HOLLADAY (NPI# 1598100547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598100547 |
| Entity Type | Individual |
| Full Name | MRS. CAROLYN JEAN HOLLADAY |
| Credential | RN, PHN |
| Practice Address |
922 Bevins Ct Lakeport CA 95453-9754 |
| Practice Telephone | 7072631090 |
| Mailing Telephone | 7072631090 |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2013-05-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
813392 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184916363 | Carolyn Holladay | Occupational Therapist | 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 | 2011-05-06 |
| Street Address |
922 BEVINS CT |
| City | LAKEPORT |
| State | CA |
| Zip Code | 95453-9754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104859347 | Lake County Health Services Department | Public Health or Welfare | 922 Bevins Ct, Lakeport, CA 95453-9754 | 2006-07-09 |
| 1821474719 | Emillie Rose Feenan | Registered Nurse | 922 Bevins Ct, Lakeport, CA 95453-9754 | 2015-08-03 |
| 1073998274 | Charles Thomas Cramton | Licensed Vocational Nurse | 922 Bevins Ct, Lakeport, CA 95453-9754 | 2015-07-29 |
| 1669862033 | Johanna Ruiz | Registered Nurse | 922 Bevins Ct, Lakeport, CA 95453-9754 | 2015-01-23 |
| 1235534660 | Carol Morgan | Registered Nurse | 922 Bevins Ct, Lakeport, CA 95453-9754 | 2014-10-28 |
| 1053713438 | Eva Lambert | Registered Nurse | 922 Bevins Ct, Lakeport, CA 95453-9754 | 2014-09-17 |
| 1457789554 | Lan Kim Huynh | Registered Nurse | 922 Bevins Ct, Lakeport, CA 95453-9754 | 2013-10-29 |
| 1013262757 | Allison Gatton | Registered Nurse | 922 Bevins Ct, Lakeport, CA 95453-9754 | 2012-07-18 |
| 1073805297 | Patricia Ann Levine | Registered Nurse | 922 Bevins Ct, Lakeport, CA 95453-9754 | 2011-05-05 |
| 1558549568 | Elaine Fontana | Registered Nurse | 922 Bevins Ct, Lakeport, CA 95453-9754 | 2008-02-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427526847 | Easter Seals Bay Area | Early Intervention Provider Agency | 1950 Parallel Drive, Lakeport, CA 95453 | 2018-11-03 |
| 1285000810 | Lake County Tribal Health Consortium, Inc. | Clinic/Center | 14678 Lakeshore Boulevard, Clearlake, CA 95453 | 2015-08-18 |
| 1942558721 | Lorena A Watson | Nurse Practitioner | 5108 Hill Road East, Lakeport, CA 95453 | 2012-08-27 |
| 1992024657 | Jennifer Stolworthy Smith | Case Manager/Care Coordinator | 991 Parallel Dr. Ste. B, County of Lake, Mental Health, Lakeport, CA 95453 | 2010-05-20 |
| 1376720664 | June Arisa Masato | Marriage & Family Therapist | 1152 S. Main St, Lakeport, CA 95453 | 2008-01-29 |
| 1245417021 | Robert Ryan Taylor Sr. | Physical Therapist | 1285 S Main Street, Lakeport, CA 95453 | 2008-01-24 |
| 1760669618 | Joan Kammerer | Registered Nurse | 922 Bevins Court, Lakeport, CA 95453 | 2008-01-23 |
| 1881878353 | Mary Theresa Mcmillan | Marriage & Family Therapist | 75 Fourth Street, Lakeport, CA 95453 | 2007-12-19 |
| 1922288984 | Robert William Krause | Family Medicine | 755 Eleventh St, Lakeport, CA 95453 | 2007-11-07 |
| 1568683092 | Dan Sleeth | Marriage & Family Therapist | 991 Parallel Dr., Lakeport, CA 95453 | 2007-05-01 |
| Find all providers in zip 95453 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821474719 | Emillie Rose Feenan | Registered Nurse | 922 Bevins Ct, Lakeport, CA 95453-9754 | 2015-08-03 |
| 1053713438 | Eva Lambert | Registered Nurse | 922 Bevins Ct, Lakeport, CA 95453-9754 | 2014-09-17 |
| 1457789554 | Lan Kim Huynh | Registered Nurse | 922 Bevins Ct, Lakeport, CA 95453-9754 | 2013-10-29 |
| 1013262757 | Allison Gatton | Registered Nurse | 922 Bevins Ct, Lakeport, CA 95453-9754 | 2012-07-18 |
| 1073805297 | Patricia Ann Levine | Registered Nurse | 922 Bevins Ct, Lakeport, CA 95453-9754 | 2011-05-05 |
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|---|---|---|---|---|
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| 1982220653 | Karen Elizabeth Mitchell | Registered Nurse | County of San Diego California Children's Services (ccs, 6991 Balboa Ave, (room 70), San Diego, CA 92111 | 2020-06-18 |
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| 1396367140 | Janice Ann Oliver | Registered Nurse | 4393 Date Ave, La Mesa, CA 91941-6412 | 2020-05-15 |
| 1083236863 | Rachel Materum | Registered Nurse | 2190 Holder Ln, Tracy, CA 95377-9575 | 2020-05-14 |
| 1154943926 | Susan Guajardo | Registered Nurse | 2695 Country Ln, Westlake Village, CA 91361-5534 | 2020-05-14 |
| 1336761329 | Nancy Davis | Registered Nurse | 307 Greenview Rd, Escondido, CA 92026-3932 | 2020-05-12 |
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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.