BRANDY HOLTHAUS (NPI# 1972922953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972922953 |
| Entity Type | Individual |
| Full Name | BRANDY HOLTHAUS |
| Other Name | BRANDY GANT |
| Credential | NP |
| Practice Address |
180 S 3rd St Ste 104 Belleville IL 62220-1952 |
| Practice Telephone | 6182224701 |
| Practice Fax Number | 6182224754 |
| Mailing Telephone | 6182224701 |
| Mailing Fax Number | 6182224754 |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2017-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209011418 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
180 S 3RD ST STE 104 |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62220-1952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134466485 | Corey A Brooks | Physician Assistant | 180 S 3rd St Ste 104, Belleville, IL 62220-1952 | 2013-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144729716 | St. Elizabeth's Hospital of The Hospital Sisters of The Third Order Of | Clinic/Center | 180 South Third Street Suite 101, Belleville, IL 62220 | 2018-02-08 |
| 1437675535 | Prorehab PC | Occupational Therapist | 1915 Carlyle Ave, Ste D, Belleville, IL 62220 | 2017-08-21 |
| 1629527650 | Arika Forrest | Nurse Practitioner | 140 Iowa Ave, Belleville, IL 62220 | 2016-10-03 |
| 1861861403 | Belleville Endoscopy LLC | Internal Medicine | 311 West Lincoln St, Suite 101, Belleville, IL 62220 | 2015-09-24 |
| 1962871558 | Antony Frierdich | Specialist/Technologist | 22 South 13th Street, Belleville, IL 62220 | 2015-09-24 |
| 1588032858 | Dana Wright | Pharmacist | 211 South Thrid Street, Belleville, IL 62220 | 2015-09-03 |
| 1629208731 | Lisa Marlow Johnson | Developmental Therapist | 34 Fenwood Dr, Belleville, IL 62220 | 2009-07-23 |
| 1841361623 | Neurological Surgery of Belleville | Neurological Surgery | 340 West Lincoln Street, Suite 540, Belleville, IL 62220 | 2006-11-13 |
| 1689769119 | Kathy Jo Corn | Counselor | 521 W. Main, Suite 201 B, Belleville, IL 62220 | 2006-10-03 |
| 1780609578 | Southern Illinois Health Care Foundation, Inc. | Counselor | 180 S 3rd St Ste 103&104, Belleville, IL 62220 | 2006-07-13 |
| Find all providers in zip 62220 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457958753 | Rita K Asiedu | Nurse Practitioner | 55 Washington Ave, Belleville, NJ 07109-2931 | 2020-10-08 |
| 1619590205 | Katelyn Rhea Coleman | Nurse Practitioner | 4600 Memorial Dr Ste 220, Belleville, IL 62226-5363 | 2020-05-18 |
| 1225663735 | Sarah Alleman | Nurse Practitioner | 3715 Rolling Meadows Dr, Belleville, IL 62221-0406 | 2020-03-04 |
| 1871130005 | Roselle Monica Pascual David | Nurse Practitioner | 511 Franklin Ave Apt B1, Belleville, NJ 07109-1568 | 2019-12-06 |
| 1003325952 | Kelsey Beasley | Nurse Practitioner | 3060 Harvest Meadow Dr, Belleville, IL 62221-7044 | 2017-09-22 |
| 1629527650 | Arika Forrest | Nurse Practitioner | 140 Iowa Ave, Belleville, IL 62220 | 2016-10-03 |
| 1366806838 | Kiley Faires | Nurse Practitioner | 4600 Memorial Drive Ste 360, Belleville, IL 62226 | 2016-04-11 |
| 1518328624 | Crystal Stone | Nurse Practitioner | 100 N Jackson St Ste B, Belleville, IL 62220-1455 | 2016-03-16 |
| 1497181333 | Brittany Murry | Nurse Practitioner | 180 S 3rd St Ste 103, Belleville, IL 62220-1952 | 2013-09-24 |
| 1477893105 | Susan Lynne Bushinski | Nurse Practitioner | 44697 Greenbriar Dr, Belleville, MI 48111-5162 | 2013-02-16 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 62220 |
Please comment or provide details below to improve the information on BRANDY HOLTHAUS.
| 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.