HOLISTIC, INC (NPI# 1811405616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811405616 |
| Entity Type | Organization |
| Organization Name | HOLISTIC, INC |
| Practice Address |
303 6th Ave Saint Albans WV 25177-2838 |
| Mailing Address |
7 Anchors Way Winfield WV 25213-9786 |
| Practice Telephone | 3045531576 |
| Mailing Telephone | 3045531576 |
| Enumeration Date | 2018-01-15 |
| Last Update Date | 2018-01-15 |
| Authorized Official Name | MR. SHAWN ROBERT BLANKENSHIP (OWNER) |
| Authorized Official Telephone | 3045531576 |
| Authorized Official Credential | NURSE PRACTITION |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
WV | Ambulatory Health Care Facilities | |
| Y | 207Q00000X | Family Medicine | WV | Allopathic & Osteopathic Physicians |
| Street Address |
303 6TH AVE |
| City | SAINT ALBANS |
| State | WV |
| Zip Code | 25177-2838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851744437 | Shawn Robert Blankenship | Nurse Practitioner | 303 6th Ave, Saint Albans, WV 25177-2838 | 2016-07-19 |
| 1639793078 | Alyssa Michele Skeens | Nurse Practitioner | 303 6th Ave, Saint Albans, WV 25177-2838 | 2020-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043655 | Lauren E. Anderson | Technician | 414 Lore Street, St. Albans, WV 25177 | 2020-11-04 |
| 1235730433 | Laura Crist | Technician | 1400 Highland Dr. Apt. #104, St. Albans, WV 25177 | 2020-11-04 |
| 1750982070 | Kathy Carden | Technician | 2734 Knox. Ave., St. Albans, WV 25177 | 2020-11-03 |
| 1245837012 | Donald Troy Blum | Pharmacist | 201 Maccorkle Avenue, St. Albans, WV 25177 | 2020-10-05 |
| 1073022067 | Comprehensive Occupational Med, Physicals, Acad, & Surveillance Sol. | Preventive Medicine | 175 Smiley Drive, St. Albans, WV 25177 | 2017-09-22 |
| 1104291608 | Melinda K. Henline, Ma, Pllc | Psychologist | 200 Kanawha Terrrace, Suite 103, St. Albans, WV 25177 | 2015-12-09 |
| 1285075796 | Brandon Tincher | Physical Therapy Assistant | 2501 Mountain View Drive, St. Albans, WV 25177 | 2013-07-12 |
| 1104129329 | Larry N Pethtel | Pharmacist | 1439 Maccorkle Ave., Saint Albans, WV 25177 | 2010-12-09 |
| 1952580698 | Behavioral Health Solutions LLC | Community/Behavioral Health | 235 Woods Dr, St Albans, WV 25177 | 2007-10-30 |
| 1336284520 | Lagrimas Babiera Sadorra | Family Medicine | 200 Kanawha Terrace, St Albans, WV 25177 | 2007-02-21 |
| Find all providers in zip 25177 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003391483 | Ann-marie Civil | Family Medicine | 19432 111th Ave, Saint Albans, NY 11412-2014 | 2018-10-01 |
| 1881096329 | Janelle Applewhaite | Family Medicine | 20016 Hollis Ave, Saint Albans, NY 11412-1712 | 2014-09-16 |
| 1588974885 | Yvonnecris Smith Veal | Family Medicine | 11230 Farmers Blvd, Saint Albans, NY 11412-2363 | 2010-10-20 |
| 1417274663 | Northwestern Medical Center, Inc. | Family Medicine | 133 Fairfield St Ste 103, Saint Albans, VT 05478-1726 | 2010-04-28 |
| 1275667099 | Alicia T. Guilford | Family Medicine | 74 Sunrise Ln, Saint Albans, VT 05478-4414 | 2007-03-15 |
| 1659408383 | Joseph Pierre | Family Medicine | 20003 Linden Blvd, Saint Albans, NY 11412-3223 | 2007-02-28 |
| 1255489936 | Amy Dale Casto | Family Medicine | 612 5th St., Saint Albans, WV 25177 | 2007-01-08 |
| 1053473116 | Anthony W Graham | Family Medicine | 509 4th Ave, Saint Albans, WV 25177-2824 | 2006-12-15 |
| 1083636377 | I. Elaine Moore | Family Medicine | 311 8th Ave, Saint Albans, WV 25177 | 2006-07-24 |
| 1124066766 | Eustace A. Huggins | Family Medicine | 20017 Linden Blvd, Saint Albans, NY 11412-3200 | 2006-06-04 |
| Find all providers in SAINT ALBANS | ||||
| City | SAINT ALBANS |
| Zip Code | 25177 |
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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.