RICHARD DAWSON HOLLOWAY III (NPI# 1942754635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942754635 |
| Entity Type | Individual |
| Full Name | RICHARD DAWSON HOLLOWAY III |
| Other Name | RICKY HOLLOWAY |
| Credential | FNP-C |
| Practice Address |
1068 Cresthaven Rd Memphis TN 38119-0800 |
| Practice Telephone | 9018668525 |
| Mailing Telephone | 9018668525 |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2018-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | APN0000020944 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 901463 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 200040282 | 05 | |
| AR | 220036758 | 05 | |
| MS | 01585873 | 05 | |
| GA | 003182720A | 05 | |
| TN | Q025239 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801152210 | Richard James Holloway | Urology | 18799 Arapaho Ln, South Bend, IN 46637 | 2012-04-10 |
| 1215988043 | Richard L Holloway | Marriage & Family Therapist | 1000 N 92nd St, Clinics At Curative, Milwaukee, WI 53226-3533 | 2006-05-15 |
| 1326120668 | Richard M Holloway | Specialist | 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 | 2006-10-19 |
| Street Address |
1068 CRESTHAVEN RD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38119-0800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457354599 | Charlotte A Deflumere | Internal Medicine | 1068 Cresthaven Rd, Suite 110, Memphis, TN 38119-0800 | 2005-05-23 |
| 1881193035 | Walid Amin Mohammad | Pharmacist | 1068 Cresthaven Rd, Memphis, TN 38119-0800 | 2018-02-02 |
| 1972059491 | Desiree Shammas | Nurse Anesthetist, Certified Registered | 1068 Cresthaven Rd, Suite 150, Memphis, TN 38119-0800 | 2016-08-26 |
| 1750834123 | Andrea Baker | Nurse Anesthetist, Certified Registered | 1068 Cresthaven Rd, Suite 150, Memphis, TN 38119-0800 | 2016-08-02 |
| 1639522154 | Haleigh Sligar | Nurse Anesthetist, Certified Registered | 1068 Cresthaven Rd, Suite 150, Memphis, TN 38119-0800 | 2016-07-20 |
| 1972952976 | Dar Salud Care Pllc | Pharmacy | 1068 Cresthaven Rd, Suite 300, Memphis, TN 38119-0800 | 2016-06-09 |
| 1417365156 | Veronica Sanders | Registered Nurse | 1068 Cresthaven Rd, Suite 100, Memphis, TN 38119-0800 | 2014-07-25 |
| 1952712796 | For Sight Eye Care, LLC | Optometrist | 1068 Cresthaven Rd, 300, Memphis, TN 38119-0800 | 2014-05-14 |
| 1649681610 | Magen Mcculloch | Nurse Anesthetist, Certified Registered | 1068 Cresthaven Rd, Suite 150, Memphis, TN 38119-0800 | 2014-05-13 |
| 1033520051 | Paulina Williamson | Nurse Anesthetist, Certified Registered | 1068 Cresthaven Rd, Suite 150, Memphis, TN 38119-0800 | 2014-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417469628 | Jojuan Fullwiley | Behavioral Analyst | 6685 Quince Rd Ste 116, Memphis, TN 38119 | 2017-10-27 |
| 1336675297 | Jill Budynas Depriest | Counselor | 5583 Murray Ave Ste 203, Memphis, TN 38119 | 2017-05-11 |
| 1396279220 | Glen Matthew Stamps Jr. | Counselor | 5583 Murray Ave Ste 207, Memphis, TN 38119 | 2017-04-18 |
| 1598117442 | Hazel Aberdeen | Chiropractor | 1911 Memphis Tennessee, Memphis, TN 38119 | 2016-07-04 |
| 1831569060 | E-c-t Non Emergency Medical Transport | Non-emergency Medical Transport (VAN) | 6869 Woodlake Dr, Memphis, TN 38119 | 2015-09-30 |
| 1053781617 | Astrid Roman | Dietitian, Registered | 8020 Hillside Cv, Memphis, MS 38119 | 2015-09-25 |
| 1467857664 | Allan Jacob Katz | Counselor | 5668 Rex Rd, Suite 104, Memphis, TN 38119 | 2014-10-30 |
| 1962836015 | Judy Ann Harrick | Acupuncturist | 5575 Poplar Ave., #702, Memphis, TN 38119 | 2013-08-26 |
| 1366791949 | Jennifer Denyes Bidelman | Audiologist | 5625 Poplar Avenue, Memphis, TN 38119 | 2012-08-29 |
| 1578833620 | Elizabeth Mary Dion-douglass | Pharmacist | 2891 Kirby Parkway, Memphis, TN 38119 | 2012-01-06 |
| Find all providers in zip 38119 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (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. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204038 | Ann Clare Guest | Nurse Practitioner | 1483 Goodbar Ave, Memphis, TN 38104-4912 | 2020-10-28 |
| 1154936946 | Allyson Escott Dormois | Nurse Practitioner | 130 Flicker St, Memphis, TN 38104-5928 | 2020-09-09 |
| 1831702224 | Tennessee In-home Partner-iv, LLC | Nurse Practitioner | Sumner Medical Plaza, 300 Steam Plant Road, Suite 220, Memphis, TN 37066-3032 | 2020-08-26 |
| 1881160059 | Christopher Paul Hernandez | Nurse Practitioner | 877 Jeffeon Ave, Memphis, TN 38103 | 2018-10-15 |
| 1326544800 | Kimberly Vestoria Mcclinton | Nurse Practitioner | 2200 Union Ave 1, Memphis, TN 38104 | 2018-04-03 |
| 1780199786 | Shkendie Papraniku | Nurse Practitioner | 6005 Park Ave Ste 510, Memphis, TN 38119-5215 | 2017-12-12 |
| 1063926079 | Megan Lee Alexander | Nurse Practitioner | 877 Jefferson Ave Fl 2, Memphis, TN 38103-2807 | 2017-11-29 |
| 1427568260 | Miranda D White | Nurse Practitioner | 6027 Walnut Grove Rd Ste 114, Memphis, TN 38120-2115 | 2017-10-06 |
| 1184098956 | Mika Tralayne Jackson | Nurse Practitioner | 4075 S Lakewood Dr, Memphis, TN 38128-4401 | 2015-11-17 |
| 1184009649 | Linda Fay Williams | Nurse Practitioner | 3655 Haughton Lane #2, Memphis, TN 38128 | 2015-07-27 |
| Find all providers in MEMPHIS | ||||
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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.