HOLLY NOELLE ANDERSON (NPI# 1770020232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770020232 |
Entity Type | Individual |
Full Name | HOLLY NOELLE ANDERSON |
Credential | PA-C |
Practice Address |
3627 University Blvd S Suite 615 Jacksonville FL 32216-4230 |
Mailing Address |
3627 University Blvd S Ste 615 Jacksonville FL 32216-7401 |
Practice Telephone | 9043991623 |
Practice Fax Number | 9043991624 |
Mailing Telephone | 8436556748 |
Enumeration Date | 2017-01-23 |
Last Update Date | 2018-09-13 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | PA9109997 | FL | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841725504 | Holly Anderson | Case Manager/Care Coordinator | 1 E 22nd St, Suite 310, Lombard, IL 60148-6159 | 2017-05-01 |
1912249483 | Holly Anderson | Speech-Language Pathologist | 112 South Elliot Street, Wenatchee, WA 98801 | 2013-03-22 |
1922230531 | Holly Danielle Anderson | Marriage & Family Therapist | 322 Houston St Ste 107, Manhattan, KS 66502-6497 | 2009-08-14 |
1922264951 | Holly Elisabeth Anderson | Acupuncturist | 605 Chenery St Ste C, San Francisco, CA 94131-3033 | 2008-07-29 |
1730252016 | Holly Marie Anderson | Nurse Practitioner | 128 E Milltown Rd Ste 209, Wooster, OH 44691-1276 | 2006-11-16 |
1174605182 | Holly B. Anderson | Chiropractor | 834 Ohio Pike, Suite 306, Cincinnati, OH 45245-2250 | 2006-10-19 |
1972110567 | Holly H Anderson | Behavior Technician | 2940 N Church St Ste 204, Layton, UT 84040-6616 | 2020-09-28 |
1134776586 | Holly Anderson | Dietitian, Registered | 1850 Bitterroot Dr, Twin Falls, ID 83301-3513 | 2019-08-21 |
1972060309 | Holly Elizabeth Anderson | Dietitian, Registered | 1100 N 35th St, Seattle, WA 98103-8906 | 2019-02-21 |
1942720644 | Holly Michelle Anderson | Student in an Organized Health Care Education/Training Program | 148 Warren St, Lowell, MA 01852-2208 | 2017-06-23 |
Street Address |
3627 UNIVERSITY BLVD S SUITE 615 |
City | JACKSONVILLE |
State | FL |
Zip Code | 32216-4230 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124024310 | Eugene Rawson Griffin IIi | Family Medicine | 3627 University Blvd S, Ste 615, Jacksonville, FL 32216-7401 | 2005-06-22 |
1629510599 | Jennifer Sally Waldon | Physician Assistant | 3627 University Blvd S, Suite 615, Jacksonville, FL 32216-4230 | 2016-11-09 |
1922550474 | Digestive Disease Consultants | Internal Medicine | 3627 University Blvd S, Ste 430, Jacksonville, FL 32216-4230 | 2016-11-01 |
1235688359 | Megan Messer | Physician Assistant | 3627 University Blvd S, Suite 430, Jacksonville, FL 32216-4230 | 2016-09-30 |
1649632951 | Memorial Family Practice, LLC | Psychiatric Hospital | 3627 University Blvd S, Suite 235, Jacksonville, FL 32216-4230 | 2016-03-25 |
1215309539 | Payal Gohari | Pharmacist | 3627 University Blvd S, Suite 120, Jacksonville, FL 32216-4230 | 2015-10-26 |
1588033419 | Hayley Gant Patridge | Physician Assistant | 3627 University Blvd S, Suite 500, Jacksonville, FL 32216-4230 | 2015-09-22 |
1821495540 | Hillary Patton | Nurse Practitioner | 3627 University Blvd S, Jacksonville, FL 32216-4230 | 2014-11-24 |
1083059315 | Amy Lee Deichert | Speech-Language Pathologist | 3627 University Blvd S, Suite 210, Jacksonville, FL 32216-4230 | 2013-04-30 |
1376896522 | Physicians Group Services Pa | Orthopaedic Surgery | 3627 University Blvd S, Suite 435, Jacksonville, FL 32216-4230 | 2012-10-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
Find all providers in zip 32216 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831799527 | Emily Vander Zee | Physician Assistant | 6680 Bennett Creek Dr Apt 213, Jacksonville, FL 32216-0018 | 2020-10-30 |
1245830314 | Jonathan V Korah | Physician Assistant | 6650 Corporate Center Pkwy Apt 1108, Jacksonville, FL 32216-8725 | 2020-10-28 |
1255931473 | Rachel Gavrielle Stahly | Physician Assistant | 11438 Emuness Rd, Jacksonville, FL 32218-4050 | 2020-10-27 |
1760099071 | Laura Alexandra Ramos-heckman | Physician Assistant | 2014 Capistrano Dr, Jacksonville, FL 32224-3091 | 2020-09-30 |
1184230583 | Julian Clouse | Physician Assistant | 9803 Creekfront Rd Apt 307, Jacksonville, FL 32256-8449 | 2020-09-21 |
1962016717 | Stephanie Benton Gentry | Physician Assistant | 3179 Shadow Creek Rd, Jacksonville, FL 32226-2386 | 2020-08-31 |
1629689435 | Monarch Mental Health Association | Physician Assistant | 5393 Roosevelt Blvd Ste 8, Jacksonville, FL 32210-8424 | 2020-08-14 |
1235749425 | Nicole Lhommedieu | Physician Assistant | 3850 Marnie Pl, Jacksonville, FL 32223-3541 | 2020-08-03 |
1861002123 | Naw-am Acio Daniels | Physician Assistant | 7467 Volley Dr N, Jacksonville, FL 32277-9368 | 2020-08-03 |
1750906640 | Veronica Adriana Dediego | Physician Assistant | 915 W Monroe St Ste 300, Jacksonville, FL 32204-1177 | 2020-06-16 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32216 |
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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.