HOLLY PHAM (NPI# 1699012385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699012385 |
| Entity Type | Individual |
| Full Name | HOLLY PHAM |
| Credential | CRNA |
| Practice Address |
764 Marlandwood Rd Apt 627 Temple TX 76502-3634 |
| Practice Telephone | 3162041360 |
| Mailing Telephone | 3162041360 |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2013-01-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 091597 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
764 MARLANDWOOD RD APT 627 |
| City | TEMPLE |
| State | TX |
| Zip Code | 76502-3634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710850 | Bih Mobanoe Chi | Pharmacist | 6801 West Adams Avenue, Temple, TX 76502 | 2020-11-06 |
| 1639705403 | Robert David Pompella | Chiropractor | 4805 Stone Ridge Dr, Temple, TX 76502 | 2020-03-12 |
| 1275167488 | Luong Dental, LLC | Dentist | 5297 S. 31st Street, Ste 111, Temple, TX 76502 | 2020-02-26 |
| 1093357931 | Ryan T Stephens Dmd Pllc | Dentist | 5408 W. Adams Suite 102, Temple, TX 76502 | 2019-10-11 |
| 1164071817 | Danyelle Denise Pividori | Licensed Vocational Nurse | 992 Marlandwood Rd, Temple, TX 76502 | 2019-09-05 |
| 1831670652 | Jane Lida Jarosz | Registered Nurse | 99 Marlandwood, Temple, TX 76502 | 2018-08-29 |
| 1043791809 | Elsa Gamban Baker | Licensed Practical Nurse | 5711 Hopkins Dr, Temple, TX 76502 | 2018-08-28 |
| 1659859288 | Laura Bright | Licensed Vocational Nurse | 990 Marlanwood, Temple, TX 76502 | 2018-08-06 |
| 1811489974 | Rockdale Blackhawk, LLC | Clinic/Center | 1909 Sw Hk Dodgen Loop, Temple, TX 76502 | 2018-06-05 |
| 1871094573 | Moc Temple, LLC | Skilled Nursing Facility | 725 Marlandwood Rd., Temple, TX 76502 | 2018-02-27 |
| Find all providers in zip 76502 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629349725 | Orlando Rivera Jr. | Nurse Anesthetist, Certified Registered | 2401 South 31st Street Bswh Attn: Anesthesia Dept, Temple, TX 76508-5191 | 2012-01-20 |
| 1174760102 | Christopher Roe | Nurse Anesthetist, Certified Registered | Scott & White Memorial, 2401 South 31st Street, Temple, TX 76508-0001 | 2009-01-13 |
| 1225149057 | Michael Wayne Bentley | Nurse Anesthetist, Certified Registered | 2401 S 31at St, Temple, TX 76508-0001 | 2006-08-31 |
| 1235170598 | Timothy Adams | Nurse Anesthetist, Certified Registered | Scott & White Hospital and Clinic, 2401 South 31st Street, Temple, TX 76508-0001 | 2006-06-09 |
| 1699713123 | Kenneth L. Kretz Sr. | Nurse Anesthetist, Certified Registered | 4714 Ascot Pkwy, Temple, TX 76502-3088 | 2006-06-04 |
| 1629029673 | Paula J. Starin | Nurse Anesthetist, Certified Registered | 707 Liberty Hl, Temple, TX 76504-2139 | 2006-05-15 |
| 1982681177 | Robin Ann Weerts | Nurse Anesthetist, Certified Registered | 1901 Sw H K Dodgen Loop, Temple, TX 76502 | 2005-12-28 |
| 1205458296 | Connor Travis Larson | Nurse Anesthetist, Certified Registered | 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2020-05-12 |
| 1164075966 | Jasmin R Guillen | Nurse Anesthetist, Certified Registered | 2401 S 31st St, Temple, TX 76508-0001 | 2019-07-20 |
| 1841842655 | Rincy Varghese | Nurse Anesthetist, Certified Registered | 2401 S 31st St, Temple, TX 76508-0001 | 2019-07-11 |
| Find all providers in TEMPLE | ||||
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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.