HOLLY L STUMP (NPI# 1700122397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700122397 |
| Entity Type | Individual |
| Full Name | HOLLY L STUMP |
| Credential | PA-C |
| Practice Address |
6015 Pointe West Blvd Bradenton FL 34209-5525 |
| Practice Telephone | 9417921404 |
| Practice Fax Number | 9417610712 |
| Mailing Telephone | 9417921404 |
| Mailing Fax Number | 9417610712 |
| Enumeration Date | 2012-12-31 |
| Last Update Date | 2012-12-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9106982 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6015 POINTE WEST BLVD |
| City | BRADENTON |
| State | FL |
| Zip Code | 34209-5525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801894613 | Dana E Moulton | Occupational Therapist | 6015 Pointe West Blvd, Bradenton, FL 34209 | 2005-07-14 |
| 1356989370 | Erin Sperling | Physician Assistant | 6015 Pointe West Blvd, Bradenton, FL 34209-5525 | 2019-12-20 |
| 1700361425 | Miranda Jane Anziano | Physical Therapist | 6015 Pointe West Blvd, Bradenton, FL 34209-5525 | 2018-09-27 |
| 1174022206 | Russell William White | Physician Assistant | 6015 Pointe West Blvd, Bradenton, FL 34209-5525 | 2018-02-05 |
| 1386168433 | Memory Smith | Nurse Practitioner | 6015 Pointe West Blvd, Bradenton, FL 34209-5525 | 2017-07-31 |
| 1164946752 | Courtney Johnson | Physician Assistant | 6015 Pointe West Blvd, Bradenton, FL 34209-5525 | 2017-07-26 |
| 1114467669 | Daniel Kalogeropoulos | Physician Assistant | 6015 Pointe West Blvd, Bradenton, FL 34209 | 2017-03-02 |
| 1841663853 | Marie Stewart | Physical Therapist | 6015 Pointe West Blvd, Bradenton, FL 34209-5525 | 2015-11-12 |
| 1477931558 | Chelsea Anne Taylor | Physician Assistant | 6015 Pointe West Blvd, Bradenton, FL 34209 | 2015-05-11 |
| 1013313733 | Lakewood Ambulatory Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 6015 Pointe West Blvd, Ste 101, Bradenton, FL 34209-5525 | 2014-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740828029 | Cairn Clinic, LLC | Massage Therapist | 4701 Manatee Ave. West, Bradenton, FL 34209 | 2019-12-17 |
| 1790341782 | Kyle James Van Benschoten | Physical Therapist | Casa Mora Rehabilitation, Bradenton, FL 34209 | 2019-05-15 |
| 1336679117 | Jennifer Rose Patterson | Nurse Practitioner | 7211 6th Ave Nw, Bradenton, FL 34209 | 2017-06-14 |
| 1972872604 | Manatee Diagnostic Center West | Radiology | 2211 60th St West, Bradenton, FL 34209 | 2011-12-27 |
| 1235406646 | Manatee Diagnostic Center,ltd | Radiology | 2301 60th Street Court West, Suite C, Bradenton, FL 34209 | 2011-11-30 |
| 1073830758 | Melissa Anderson | Occupational Therapy Assistant | 5203 12th Ave Drive West, Bradenton, FL 34209 | 2010-04-21 |
| 1205060993 | Margaret Ann Kirkland | Dentist | 2902 59th St. W., Suite V, Bradenton, FL 34209 | 2009-05-08 |
| 1477791028 | Anna Maria Chiropractic Pllc | Chiropractor | 7315 9th Ave N.w., Bradenton, FL 34209 | 2009-02-04 |
| 1174783393 | The Lombardo Home | Assisted Living Facility | 620 71st Street North West, Bradenton, FL 34209 | 2008-06-11 |
| 1407041072 | Allison Jean Kelly | Occupational Therapist | 5949 17th Avenue W, Bradenton, FL 34209 | 2007-09-07 |
| Find all providers in zip 34209 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780648949 | Thomas David Snyder | Physician Assistant | 3322 49th Ave E, Bradenton, FL 34203-3944 | 2006-04-14 |
| 1710539416 | Justin Lee Russell | Physician Assistant | 11505 Rangeland Pkwy, Bradenton, FL 34211-4041 | 2019-07-12 |
| 1164946752 | Courtney Johnson | Physician Assistant | 6015 Pointe West Blvd, Bradenton, FL 34209-5525 | 2017-07-26 |
| 1548719065 | Jared Devirgilis | Physician Assistant | 206 2nd St E, Bradenton, FL 34208-1042 | 2016-09-26 |
| 1174534523 | Kristen F Riley | Physician Assistant | 6015 Pointe West Blvd, Bradenton, FL 34209-5525 | 2006-08-11 |
| 1275596728 | Lisa Ann Blacklidge | Physician Assistant | 206 2nd St E, Bradenton, FL 34208-1042 | 2006-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598691 | Monica Nancy Ginocchio | Physician Assistant | 1020 Crosspointe Dr Ste 110, Naples, FL 34110-0918 | 2020-11-06 |
| 1427657055 | Alyson Ryall | Physician Assistant | 480 Ventura Pl, Vero Beach, FL 32963-4262 | 2020-10-24 |
| 1104436476 | Forrest Joseph Steslow | Physician Assistant | 1971 Brandywine Rd Apt 305, West Palm Beach, FL 33409-6800 | 2020-08-03 |
| 1063039576 | Joshua Bras Prewitt | Physician Assistant | 4800 Linton Blvd Ste 201, Delray Beach, FL 33445-6584 | 2020-06-30 |
| 1003443904 | Sheila Rhinehart | Physician Assistant | 981 Tarpon Ave, Sebastian, FL 32958-5147 | 2020-03-23 |
| 1952932493 | Lisel Spieler | Physician Assistant | 1173 Fins Up Ct, Daytona Beach, FL 32124-3719 | 2020-02-03 |
| 1326685991 | Nikolai X Lincavage | Physician Assistant | 29277 Us Highway 19 N # 29277, Clearwater, FL 33761-2102 | 2019-12-03 |
| 1356984686 | Zane K Jude | Physician Assistant | 1775 Linton Lake Dr, Delray Beach, FL 33445-6927 | 2019-10-18 |
| 1720635998 | Jose R Munoz | Physician Assistant | 4801 Esedra Ct Apt 203, Lake Worth, FL 33467-5019 | 2019-08-22 |
| 1811559578 | Sydney Gillen | Physician Assistant | 1222 S Orange Ave Fl 2, Orlando, FL 32806-1215 | 2019-07-02 |
| Find all providers with the same taxonomy | ||||
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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.