TAMA JORDAN HOLLAR (NPI# 1932130226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932130226 |
| Entity Type | Individual |
| Full Name | TAMA JORDAN HOLLAR |
| Other Name | TAMA D FULTON |
| Credential | CRNA |
| Practice Address |
3209 S 23rd St Ste 340 Tacoma WA 98405-1602 |
| Mailing Address |
10919 64th Ave Nw Gig Harbor WA 98332-8522 |
| Practice Telephone | 2532725127 |
| Mailing Telephone | 2538587129 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2017-01-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | AP60311608 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 1-066746 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | ARNP2698912 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 306476000 | 05 | |
| WA | MDCR PTAN (K) | G8915279 | 01 |
| FL | BCBS | G2338 | 01 |
| WA | MDCR PTAN (P) | G8915280 | 01 |
| Street Address |
3209 S 23RD ST STE 340 |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-1602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568459907 | Chandra Kay-dawn Lovejoy | Specialist/Technologist | 3209 S 23rd St, Ste 100, Tacoma, WA 98405 | 2005-09-30 |
| 1043597453 | Craig Andrew Swank | Nurse Anesthetist, Certified Registered | 3209 S 23rd St, Suite 340, Tacoma, WA 98405-1602 | 2011-11-14 |
| 1073835401 | Richelle Bejarin Lamberti | Nurse Anesthetist, Certified Registered | 3209 S 23rd St, Ste 340, Tacoma, WA 98405-1602 | 2010-02-26 |
| 1760715163 | Shenise Brown | Nurse Anesthetist, Certified Registered | 3209 S 23rd St, Suite 340, Tacoma, WA 98405-1602 | 2009-09-16 |
| 1740410257 | Laura Y Pierce | Nurse Practitioner | 3209 S 23rd St, Suite 340, Tacoma, WA 98405-1602 | 2009-07-17 |
| 1992961429 | Melinda Sue Parker | Physician Assistant | 3209 S 23rd St, Ste 340, Tacoma, WA 98405-1602 | 2008-08-04 |
| 1558572651 | Jason Michael Sugar | Internal Medicine | 3209 S 23rd St, Ste 340, Tacoma, WA 98405-1602 | 2007-05-24 |
| 1174739957 | Michael H. Lee | Internal Medicine | 3209 S 23rd St, Suite 340, Tacoma, WA 98405-1602 | 2007-05-16 |
| 1346362944 | Bruce D Mcpeters | Nurse Anesthetist, Certified Registered | 3209 S 23rd St, Ste 340, Tacoma, WA 98405-1602 | 2007-04-04 |
| 1568516219 | Kimberly G. Jannison Darcey | Physician Assistant | 3209 S 23rd St, Suite 340, Tacoma, WA 98405-1602 | 2007-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316296775 | Nicholas Allan Kroll | Nurse Anesthetist, Certified Registered | 9040 Jackson Ave Credentials Office, Tacoma, WA 98431-2664 | 2012-08-31 |
| 1619272119 | Connie E. Jensen Pllc | Nurse Anesthetist, Certified Registered | 502 S M St Ste 200, Tacoma, WA 98405-3728 | 2011-01-14 |
| 1588975791 | Celeste Marie Hebert | Nurse Anesthetist, Certified Registered | 4907 162nd Street Ct E, Tacoma, WA 98446-3823 | 2010-06-23 |
| 1861654923 | Sound Anesthesia, LLP | Nurse Anesthetist, Certified Registered | 1112 6th Ave Ste 100, Tacoma, WA 98405-4048 | 2008-06-30 |
| 1346401833 | Robert Matt Cline | Nurse Anesthetist, Certified Registered | 3209s 23rd St 340, Tacoma, WA 98405-1602 | 2008-06-18 |
| 1013117837 | Douglas L Raber, Crna, Ps | Nurse Anesthetist, Certified Registered | 4165 Augusta Dr Ne, Tacoma, WA 98422-4751 | 2007-07-19 |
| 1780754945 | United States Army | Nurse Anesthetist, Certified Registered | 1814 Beacon Ct Ne, Tacoma, WA 98422-3469 | 2006-11-08 |
| 1043313927 | Melissa Alsbergas | Nurse Anesthetist, Certified Registered | 3209 S 23rd St Ste 240, Tacoma, WA 98405 | 2006-09-06 |
| 1598701328 | David Charles Joss | Nurse Anesthetist, Certified Registered | 9040 Jackson Ave Madigan Army Medical Center Bldg 9040, Tacoma, WA 98431-0001 | 2006-06-21 |
| 1760430151 | Amy M Nielsen | Nurse Anesthetist, Certified Registered | 3209 S 23rd St Ste 340, Tacoma, WA 98405 | 2006-05-05 |
| Find all providers in TACOMA | ||||
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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.