MS. ALEXA RUPPERT HOLLERAN (NPI# 1033692850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033692850 |
| Entity Type | Individual |
| Full Name | MS. ALEXA RUPPERT HOLLERAN |
| Credential | APRN |
| Practice Address |
10 Alice Peck Day Dr Lebanon NH 03766-2900 |
| Practice Telephone | 6034483121 |
| Practice Fax Number | 6034425131 |
| Mailing Telephone | 6034483121 |
| Mailing Fax Number | 6034425131 |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2018-09-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
074620-23 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
074620-23 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10 ALICE PECK DAY DR |
| City | LEBANON |
| State | NH |
| Zip Code | 03766-2900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265429799 | Christopher Mazur | Emergency Medicine | 10 Alice Peck Day Dr, Lebanon, NH 03766-2694 | 2005-09-30 |
| 1033683909 | Erika Argersinger | Physician Assistant | 10 Alice Peck Day Dr, Lebanon, NH 03766-2900 | 2019-01-14 |
| 1417407388 | Alice Peck Day Memorial Hospital | Dentist | 10 Alice Peck Day Dr, Lebanon, NH 03766-2900 | 2016-10-04 |
| 1780137802 | Mascoma Street Inpatient Services LLC | Hospitalist | 10 Alice Peck Day Dr, Lebanon, NH 03766-2900 | 2016-07-25 |
| 1285187336 | Upper Valley Emergency Physicians LLC | Emergency Medicine | 10 Alice Peck Day Dr, Lebanon, NH 03766-2900 | 2016-07-25 |
| 1689024192 | Casey Kelly | Counselor | 10 Alice Peck Day Dr, Lebanon, NH 03766-2900 | 2016-06-15 |
| 1073990669 | Samuel James Ogden | Pediatrics | 10 Alice Peck Day Dr, Lebanon, NH 03766-2900 | 2015-05-03 |
| 1194159210 | Brittany V Teune | Physical Therapist | 10 Alice Peck Day Dr, Lebanon, NH 03766-2900 | 2013-08-26 |
| 1639457732 | Yasolatha Chalicheemala | Internal Medicine | 10 Alice Peck Day Dr, Lebanon, NH 03766-2900 | 2011-07-25 |
| 1346456043 | Alice Peck Day Memorial Hospital | Medicare Defined Swing Bed Unit | 10 Alice Peck Day Dr, Lebanon, NH 03766-2647 | 2007-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033580345 | Leah E Abrahamsen | Social Worker | 85 Mechanic Street Suite 3b-1, Dartmouth Hitchcock - Psychiatry, Lebanon, NH 03766 | 2015-10-13 |
| 1871982801 | Steps Opioid Addiction Treatment | Clinic/Center | 1 Glen Road, Suite 216, Lebanon, NH 03766 | 2015-01-14 |
| 1811282288 | Lisa Golden Morse | Occupational Therapist | 23 Mahon St, Lebanon, NH 03766 | 2011-06-14 |
| 1750607131 | Timothy Joseph Lin | Orthopaedic Surgery | 1 Medical Center Drive Orthopaedics, Lebanon, NH 03766 | 2010-04-11 |
| 1457673857 | Melanie A Baker | Dental Hygienist | One Court Street, Suite 270, Lebanon, NH 03766 | 2010-02-26 |
| 1568613073 | Peter Keith Isquith | Clinical Neuropsychologist | 367 Route 120 Unit B1, Hanover Road Professional Center, Lebanon, NH 03766 | 2008-10-02 |
| 1235317512 | Leslie Sudak | Speech-Language Pathologist | 10 Mascoma St, Lebanon, NH 03766 | 2008-02-08 |
| 1891973269 | Dc Whitfield | Nurse Practitioner | 20 W Park St Ste 418, Lebanon, NH 03766 | 2008-02-07 |
| 1588879951 | Charles R Meyers | Acupuncturist | 2 Whipple Place, Lebanon, NH 03766 | 2007-05-11 |
| 1285859686 | Thomas A Johnston | Dentist | 206 Heater Road, Lebanon, NH 03766 | 2007-04-13 |
| Find all providers in zip 03766 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932525839 | Lindsay Schommer | Nurse Practitioner | 1 Medical Center Dr - Neurology, Dartmouth-hitchcock Medical Center, Lebanon, NH 03756-0001 | 2014-03-16 |
| 1598016958 | Kevin P Kalnoski | Nurse Practitioner | 864 Jay St, Lebanon, PA 17046-1924 | 2012-09-26 |
| 1891965927 | Dana Michelle Logsdon | Nurse Practitioner | 727 W. Main St., Lebanon, KY 40033 | 2008-03-05 |
| 1184785826 | Jane Shelby Pierce | Nurse Practitioner | 1432 W Main St, Suite 700, Lebanon, TN 37087-1323 | 2006-12-13 |
| 1932276466 | Jennifer Ann Petty | Nurse Practitioner | 1123 North Castleheights Avenue, Suite H, Lebanon, TN 37087-1510 | 2006-11-29 |
| 1124645536 | Christina Lynne Cohee | Nurse Practitioner | 2505 N Lebanon St Ste 220, Lebanon, IN 46052-8611 | 2020-07-01 |
| 1558987560 | Kimberly Ruth Haller | Nurse Practitioner | 1 Medical Center Drive, Lebanon, NH 03756 | 2020-06-25 |
| 1477180552 | Catherine Anton | Nurse Practitioner | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2020-03-26 |
| 1043772932 | Connesuala Powers | Nurse Practitioner | 115 Winwood Dr Ste 205, Lebanon, TN 37087-1399 | 2019-04-01 |
| 1811487630 | Elaine Walker | Nurse Practitioner | One Medical Center Drive, 4m Wound Care Center, Lebanon, NH 03756-0001 | 2018-05-17 |
| Find all providers in LEBANON | ||||
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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.