DR. MARIDITH HOLLIS (NPI# 1730612086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730612086 |
| Entity Type | Individual |
| Full Name | DR. MARIDITH HOLLIS |
| Practice Address |
1015 Montlimar Dr Ste A-210 Mobile AL 36609-1713 |
| Practice Telephone | 2514614243 |
| Mailing Telephone | 2514614243 |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2017-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1015 MONTLIMAR DR STE A-210 |
| City | MOBILE |
| State | AL |
| Zip Code | 36609-1713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093717894 | Patricia K Noonan | Nurse Practitioner | 1015 Montlimar Dr, Mobile, AL 36609-1713 | 2005-08-11 |
| 1942830781 | Shannon Lewis | Nurse Practitioner | 1015 Montlimar Dr, Mobile, AL 36609-1713 | 2020-01-21 |
| 1073021101 | Ashley Blount | Counselor | 1015 Montlimar Dr, Mobile, AL 36609-1713 | 2018-01-10 |
| 1205340056 | Chereta Alina Beverly | Nurse Practitioner | 1015 Montlimar Dr, Mobile, AL 36609-1713 | 2017-11-30 |
| 1134630205 | Alicia Todd | Nurse Practitioner | 1015 Montlimar Dr, Mobile, AL 36609-1713 | 2017-10-17 |
| 1992237721 | Bradley Brooks | Student in an Organized Health Care Education/Training Program | 1015 Montlimar Dr, Ste A-210, Mobile, AL 36609-1713 | 2017-03-30 |
| 1134588734 | University of South Alabama | Psychiatry & Neurology | 1015 Montlimar Dr, Ste A-210, Mobile, AL 36609-1713 | 2016-02-11 |
| 1346605714 | Kelley Wilson | Psychologist | 1015 Montlimar Dr, Mobile, AL 36609-1713 | 2015-12-29 |
| 1184089369 | Dedra Delphine Terry | Nurse Practitioner | 1015 Montlimar Dr, Mobile, AL 36609 | 2015-12-15 |
| 1033595434 | Shanthi Gatla | Psychiatry & Neurology | 1015 Montlimar Dr, A-210, Mobile, AL 36609-1713 | 2015-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698309 | Bhg Lxxii, LLC | Clinic/Center | 4373 Dowtowner Loop South, Suite A, Mobile, AL 36609 | 2020-10-26 |
| 1760036008 | Jesse David Schultz | Chiropractor | 3501 Montlimar Plaza Drive, Mobile, AL 36609 | 2019-07-25 |
| 1982267241 | Raqueal L. Williams | Registered Nurse | 406 Larose Dr., Mobile, AL 36609 | 2019-04-22 |
| 1588131924 | Angela Roney | Counselor | 705 Oak Circle Dr. East, Mobile, AL 36609 | 2018-10-24 |
| 1134617996 | Harley Michelle Oliver | Physician Assistant | 820 S. University Blvd Bldg 1, Suite 1b, Mobile, AL 36609 | 2018-04-27 |
| 1912420126 | Rural Urgent Care LLC | Clinic/Center | 6280 Grelot Road, Mobile, AL 36609 | 2017-07-19 |
| 1598128407 | Trisha Mcmillon | Counselor | 3929 Airport Blvd Ste 1-214, Mobile, AL 36609 | 2016-03-30 |
| 1437523347 | Sonya White D.d.s. PC | Dentist | 6309 Piccadilly Square Dr., Mobile, AL 36609 | 2015-11-17 |
| 1386913374 | Janis Marie Fausser | Pharmacist | 5705 Cottagehill Rd, Mobile, AL 36609 | 2011-12-20 |
| 1245524263 | Emily Chisholm | Physical Therapist | 1515 University Blvd. S., Mobile, AL 36609 | 2011-06-07 |
| Find all providers in zip 36609 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302907 | Dyneisha Barrett | Student in an Organized Health Care Education/Training Program | 2251 Liberty Ct, Mobile, AL 36608-9145 | 2020-09-23 |
| 1548872344 | Shelby Glynn | Student in an Organized Health Care Education/Training Program | 1200 Somerby Dr Apt 326, Mobile, AL 36695-5429 | 2020-08-21 |
| 1982216388 | Kaitlyn Culotta Dozier | Student in an Organized Health Care Education/Training Program | 936 Grant Park Drive, Mobile, AL 36606 | 2020-08-18 |
| 1912518549 | Makenzie Rose-lynn Dunning | Student in an Organized Health Care Education/Training Program | 2841 Leigh Ct, Mobile, AL 36695-9794 | 2020-08-17 |
| 1093326613 | Rachael Lauren Abroms | Student in an Organized Health Care Education/Training Program | 871 W Briar Ct, Mobile, AL 36609-5167 | 2020-08-17 |
| 1669083275 | Amedee Stokley | Student in an Organized Health Care Education/Training Program | 25 Lancaster Rd, Mobile, AL 36608-1903 | 2020-08-17 |
| 1831700442 | Katherine Josephine White | Student in an Organized Health Care Education/Training Program | 2925 Jersey Dr W, Mobile, AL 36695-9583 | 2020-08-17 |
| 1376154997 | Mary Emily Moran Harris | Student in an Organized Health Care Education/Training Program | 4506 Kingsway Dr, Mobile, AL 36608-2810 | 2020-08-17 |
| 1649881269 | Roxanna Rose Hare | Student in an Organized Health Care Education/Training Program | 109 Bienville Ave, Mobile, AL 36606-1462 | 2020-08-17 |
| 1659982262 | Kaitlyn Anne Parker | Student in an Organized Health Care Education/Training Program | 7230 Oakbriar Dr N, Mobile, AL 36619-1232 | 2020-08-17 |
| Find all providers in MOBILE | ||||
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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.