MS. PATRICE LYNN HOLLAND (NPI# 1619964566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619964566 |
Entity Type | Individual |
Full Name | MS. PATRICE LYNN HOLLAND |
Practice Address |
2124 Ne Goldenrod Ave Bremerton WA 98311-3914 |
Practice Telephone | 3603078321 |
Mailing Telephone | 3603078321 |
Enumeration Date | 2005-10-05 |
Last Update Date | 2008-04-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
N/A | WA | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 9053448 | 05 |
Street Address |
2124 NE GOLDENROD AVE |
City | BREMERTON |
State | WA |
Zip Code | 98311-3914 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811535420 | Naomi Arguelles | Counselor | 5455 Almira Drve Ne, Bremerton, WA 98311 | 2019-12-13 |
1306495775 | Audra Rose Kuoppala | Chiropractor | 5050 Wa State Hwy 303, Suite A101, Bremerton, WA 98311 | 2019-09-09 |
1891351888 | Amanda Olney Flint | Massage Therapist | 5050 Wa-303, A101, Bremerton, WA 98311 | 2019-05-15 |
1265995385 | Daniel Mcclough | Massage Therapist | 5050 Wa-303 A101, Bremerton, WA 98311 | 2019-04-08 |
1073032157 | Kingston Crossing Wellness Ps | Chiropractor | 5050 Hwy 303 Ne, Suite A 101, Bremerton, WA 98311 | 2017-09-11 |
1811252117 | Kayla Sue Kooker | Massage Therapist | 5050 State Hwy 303 Ne #a101, Bremerton, WA 98311 | 2012-07-12 |
1336458983 | Shannon Christine Stewart | Mechanotherapist | 1487 Dawn Rd. Ne, Bremerton, WA 98311 | 2010-09-30 |
1174779656 | Kimberly Ann Vickery | Specialist | 5060 Highway 303 Ne, Suite 103, Bremerton, WA 98311 | 2008-08-15 |
1790988228 | Cynthia Erickson | Specialist | 9125 Central Valley Rd., Bremerton, WA 98311 | 2007-06-11 |
1114132388 | Jennifer Ross Tanguay | Nurse Anesthetist, Certified Registered | 1275 Ne Franklin Ave Ste A, Bremerton, WA 98311 | 2007-05-11 |
Find all providers in zip 98311 |
Taxonomy Code | 1744P3200X |
Grouping | Other Service Providers |
Classification | Specialist |
Specialization | Prosthetics Case Management |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346713823 | Mara Palmer | Specialist | 351 Strander Blvd # 36, Tukwila, WA 98188-2916 | 2019-01-07 |
1528555695 | Bobby J Mcdowell-carter | Specialist | 5110 19th Ave S, Seattle, WA 98108-1950 | 2018-04-15 |
1093223752 | Miranda Ortiz | Specialist | 60138a Floyd Ave, Joint Base Lewis Mcchord, WA 98433-1591 | 2018-01-16 |
1518237890 | Cedar Budinger | Specialist | 7746 18th Ave Ne, Seattle, WA 98115-4426 | 2012-01-04 |
1013980820 | Center for Prosthetics Orthotics, Inc. | Specialist | 1231 116th Ave Ne Ste 725, Suite 725, Bellevue, WA 98004-3804 | 2006-02-10 |
1114914702 | Jeffrey A Johnson | Specialist | 919 W Main St, Walla Walla, WA 99362-2746 | 2005-09-29 |
1396749990 | Center for Prosthetics Orthotics, Inc. | Specialist | 411 12th Ave, Seattle, WA 98122-5577 | 2005-06-10 |
1902458821 | Kierra Jean Falbo | Specialist | 501 Eastlake Ave E Ste 300, Seattle, WA 98109-5546 | 2019-07-11 |
1336548403 | Christopher Allen Fuhrmeister | Specialist | 2621 Ne 134th St Ste 120, Vancouver, WA 98686-3036 | 2014-08-14 |
1376801746 | Catherine Joanne Hammack | Specialist | 1360 N Louisiana St, Suite D, Kennewick, WA 99336-7171 | 2012-04-24 |
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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.