HOLLY E. JENSEN (NPI# 1912039025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912039025 |
| Entity Type | Individual |
| Full Name | HOLLY E. JENSEN |
| Credential | RNC |
| Practice Address |
707 14th St Modesto CA 95354-2506 |
| Mailing Address |
1812 Robbie Ave Modesto CA 95350-1944 |
| Practice Telephone | 2095256014 |
| Practice Fax Number | 2095256034 |
| Mailing Telephone | 2095774938 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
540948 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154874204 | Holly Ann Louise Jensen | Nurse Practitioner | 1315 S Cliff Ave Ste 2000, Sioux Falls, SD 57105 | 2016-07-25 |
| 1629391669 | Holly Lorayne Jensen | Speech-Language Pathologist | 940 Maple Rd, Homewood, IL 60430-2061 | 2010-03-04 |
| 1639343502 | Holly Michelle Jensen | Physical Therapist | 3845 W 4700 S, Taylorsville, UT 84118-3454 | 2008-04-22 |
| Street Address |
707 14TH ST |
| City | MODESTO |
| State | CA |
| Zip Code | 95354-2506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306378906 | Lindsey Provencher | Counselor | 707 14th St, Modesto, CA 95354-2506 | 2017-04-01 |
| 1437694528 | Alejandra Rodriguez | Case Manager/Care Coordinator | 707 14th St, Modesto, CA 95354-2506 | 2016-12-27 |
| 1265800916 | Caleb Burrell | Counselor | 707 14th St, Modesto, CA 95354-2506 | 2015-09-11 |
| 1215303318 | Griselda Marquez | Social Worker | 707 14th St, Modesto, CA 95354 | 2015-08-12 |
| 1588064190 | Juan Villa | Student in an Organized Health Care Education/Training Program | 707 14th St, Modesto, CA 95354-2506 | 2014-09-02 |
| 1447682836 | Vanessa E. Lopez-asaah | Student in an Organized Health Care Education/Training Program | 707 14th St, Modesto, CA 95354-2506 | 2013-08-07 |
| 1013213180 | Camera Lee Bonsack | Case Manager/Care Coordinator | 707 14th St, Modesto, CA 95354-2506 | 2011-02-07 |
| 1720396609 | Andrea Ellen Barnett | Social Worker | 707 14th St, Modesto, CA 95354-2506 | 2010-09-14 |
| 1932435245 | Alicia Christian James | Student in an Organized Health Care Education/Training Program | 707 14th St, Modesto, CA 95354-2506 | 2009-10-20 |
| 1265627194 | Emily L Arteaga | Social Worker | 707 14th St, Modesto, CA 95354-2506 | 2007-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669987301 | Tristan Renee Bowman | Student in an Organized Health Care Education/Training Program | 1700 Mchenry Way, Modesto, CA 95354 | 2017-12-04 |
| 1134647944 | Melissa Kathleen Huizar | Occupational Therapist | 730 17th Street, Modesto, CA 95354 | 2017-08-31 |
| 1861948424 | Daniel Jones | Specialist/Technologist | 224 Eula Drive, Modesto, CA 95354 | 2016-09-01 |
| 1710333976 | Elite First Health | Clinic/Center | 3121 Yosemite Blvd Ste D2, Modesto, CA 95354 | 2016-05-06 |
| 1790169084 | Ronika Rodriguez | Licensed Vocational Nurse | 328 Thrasher Ave, Modesto, CA 95354 | 2015-07-16 |
| 1942688528 | Progressive Home Health and Hospice Care, LLC | Home Infusion | 1619 H Street, Modesto, CA 95354 | 2015-05-14 |
| 1225434277 | Ashley Ann Brown | Case Manager/Care Coordinator | 1000 Needham, Modesto, CA 95354 | 2014-11-18 |
| 1922380518 | Thao Truong | Specialist | 1321 I St Ste #3, Modesto, CA 95354 | 2011-09-09 |
| 1437441938 | Amy Marie Lipomi | Counselor | 613 13th Street, Suite B, Modesto, CA 95354 | 2011-05-03 |
| 1871800813 | Patricia Ashley Dalman | Social Worker | 1321 I Street Suite 3, Modesto, CA 95354 | 2010-09-13 |
| Find all providers in zip 95354 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881239622 | Christian Buck | Registered Nurse | 4605 Via Altura, Modesto, CA 95357-0667 | 2019-11-15 |
| 1598287906 | Janet Vargas | Registered Nurse | 1312 Pecos Ave, Modesto, CA 95351-4728 | 2017-07-07 |
| 1871982199 | Celeste Lascano | Registered Nurse | 3001 Hahn Dr Apt 354, Modesto, CA 95350-6585 | 2015-01-12 |
| 1558520114 | Kim Dale Goodrum | Registered Nurse | 825 Palmilla Dr, Modesto, CA 95356-1152 | 2008-06-08 |
| 1902093909 | Gayle Patricia Ivy | Registered Nurse | 3909 Trillium Ave, Modesto, CA 95356-1319 | 2007-10-03 |
| 1871792952 | Mary Lynn Miller | Registered Nurse | 500 N 9th St Ste C, Modesto, CA 95350-5814 | 2007-07-17 |
| 1962523225 | Koni Del Nugent | Registered Nurse | 1912 Post Oak Dr, Modesto, CA 95354-1634 | 2007-04-03 |
| 1104946946 | Melissa Alane Sanchez | Registered Nurse | 1829 Savoie Way, Modesto, CA 95356-8947 | 2007-03-29 |
| 1922132802 | John Francis Gilmore | Registered Nurse | 920 12th Street, Modesto, CA 95354 | 2007-03-15 |
| 1710012489 | Keri Berbena Rodgers | Registered Nurse | 2215 Blue Gum Ave, Modesto, CA 95358-1052 | 2007-02-22 |
| Find all providers in MODESTO | ||||
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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.