MRS. HOLLY DISIBBIO (NPI# 1700423019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700423019 |
| Entity Type | Individual |
| Full Name | MRS. HOLLY DISIBBIO |
| Other Name | MISS HOLLY DISIBBIO |
| Credential | PMHNP-BC |
| Practice Address |
1333 Southview Drive Bluefield WV 24701 |
| Mailing Address |
118 12th Street Princeton WV 24740 |
| Practice Telephone | 3043279205 |
| Practice Fax Number | 3043279210 |
| Mailing Telephone | 3044315168 |
| Mailing Fax Number | 3044877835 |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2019-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
104840 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1333 SOUTHVIEW DRIVE |
| City | BLUEFIELD |
| State | WV |
| Zip Code | 24701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285620559 | Jeffry Travis Gee | Psychiatry & Neurology | 1333 Southview Drive, Bluefield, WV 24701-4317 | 2005-09-22 |
| 1275860462 | Cheryl Ellen Taylor | Psychologist | 1333 Southview Drive, Bluefield, WV 24701-4317 | 2009-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285083105 | Amber Mcclung | Pharmacist | South View Mall Us Route 52, Bluewell, WV 24701 | 2016-06-10 |
| 1083003909 | Kerri Francis | Specialist/Technologist | 219 Rock Street, Bluefield, WV 24701 | 2015-01-15 |
| 1740524222 | Stephanie Michelle Neely | Specialist | Rt 2 Old Princeton Road, Bluefield, WV 24701 | 2012-11-21 |
| 1649525676 | Charles Lohr | Pharmacist | 2924 E Cumberland Rd, Bluefield, WV 24701 | 2012-07-16 |
| 1508144239 | Chastity Leigh Walker | Nurse Practitioner | 510 Cherry St., Suite 301, Bluefield Primary Care, Bluefield, WV 24701 | 2011-07-29 |
| 1861795338 | Tracy Lynn Mathena | Pharmacist | Us Rt 52 N, Bluewell, WV 24701 | 2010-12-06 |
| 1972810125 | Bluefield Clinic Company LLC | Clinic/Center | 154 Majestic Place, Bluefield, WV 24701 | 2010-09-09 |
| 1477885804 | Pearle Vision Inc | Eyewear Supplier (Equipment, not the service) | Mercer Mall Rte460, Mercer Mall Ste #740, Bluefield, WV 24701 | 2010-02-10 |
| 1629257522 | Robert Martin Mustard II | Technician/Technologist | 210 1/2 North Street, Bluefield, WV 24701 | 2007-10-26 |
| 1952596603 | Bluefield Int & Cardio | Internal Medicine | 1331 Southview Drive, Suite 5, Bluefield, WV 24701 | 2007-09-06 |
| Find all providers in zip 24701 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124507066 | Nathan Alexander Rowe | Nurse Practitioner | 1333 Southview Dr, Bluefield, WV 24701-4317 | 2018-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326595 | Michelle Anne Stanley | Nurse Practitioner | 570 Sauerkraut Road, Wardensville, WV 26851 | 2020-11-03 |
| 1104469899 | Nicole Wennerberg | Nurse Practitioner | 123 Hovatter Dr, Inwood, WV 25428-1298 | 2019-10-24 |
| 1528609856 | Jan Augusta Nieves | Nurse Practitioner | 3094 Charlestown Road, Kearneysville, WV 25430 | 2019-10-08 |
| 1679120786 | Hope Hill Mental Wellness Center LLC | Nurse Practitioner | 1809 Dupont Rd E. Suite #1, Parkersburg, WV 26101 | 2019-08-22 |
| 1205290178 | Kimberly J Rittenhouse | Nurse Practitioner | 1809 Dupont Rd Ste 1, Parkersburg, WV 26101 | 2016-04-07 |
| 1285022723 | Yolanda Hunter | Nurse Practitioner | 201 Adams St, Fairmont, WV 26554-2825 | 2015-01-07 |
| 1437563558 | Janel Nuzum | Nurse Practitioner | 800 Garfield Ave Ste 2, Parkersburg, WV 26101-5376 | 2014-06-17 |
| 1154921716 | Sira Diakite | Nurse Practitioner | 2500 Hospital Dr, Martinsburg, WV 25401-3402 | 2020-10-31 |
| 1447857594 | Angela Dawn Monroe | Nurse Practitioner | 911 Emerson Ave, Parkersburg, WV 26104-2526 | 2020-10-01 |
| 1699383414 | Kerry A Tucker | Nurse Practitioner | 99 Tavern Rd, Martinsburg, WV 25401-2890 | 2020-07-17 |
| 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.