REBECCA LYNN HOLLIDAY (NPI# 1053967745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053967745 |
| Entity Type | Individual |
| Full Name | REBECCA LYNN HOLLIDAY |
| Practice Address |
6159 S Kerr Rd Scott AR 72142-9020 |
| Practice Telephone | 5018374789 |
| Mailing Telephone | 5019440337 |
| Enumeration Date | 2019-08-17 |
| Last Update Date | 2019-08-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| Street Address |
6159 S KERR RD |
| City | SCOTT |
| State | AR |
| Zip Code | 72142-9020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831575398 | Christina Ann Albert | Physical Therapist | 5025 Gaillardia Corporate Place, Ste. B1, Oklahoma City, OK 72142 | 2015-08-07 |
| 1821222068 | Mary Katherine Howard | Family Medicine | 15111 Highway 165, Scott, AR 72142 | 2009-05-01 |
| 1538555248 | Aleobe Eruemulor | Family Medicine | 15111 Highway 165, Scott, AR 72142 | 2015-04-09 |
| 1083702054 | Doyle Henry Davis II | Counselor | 14405 Old River Dr, Scott, AR 72142-9118 | 2006-10-11 |
| 1093910028 | Rebecca Boullioun-davis | Speech-Language Pathologist | 14405 Old River Dr, Scott, AR 72142-9118 | 2007-06-19 |
| 1598198947 | Patricia Rouse | Licensed Practical Nurse | 7201 Highway 161 S, Scott, AR 72142-9182 | 2013-08-20 |
| 1891238408 | Keesha Machie Brown | Nurse Practitioner | 6125 Highway 161 S, Scott, AR 72142-9351 | 2016-11-30 |
| 1013083377 | Melissa M Andrews | Physical Therapist | 1045 N Walkers Corner Rd, Scott, AR 72142-9411 | 2006-11-28 |
| 1164448858 | Thomas Ross Braswell | Family Medicine | 15033 Highway 165, Scott, AR 72142-9555 | 2006-07-14 |
| 1396059374 | Sandra S Sanders | Social Worker | 11816 Willow Ln, Scott, AR 72142-9739 | 2010-08-02 |
| Find all providers in zip 72142 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748573 | Tammy Dawn Mckeehan | Technician | 29888 Highway 84, Malvern, AR 72104-8538 | 2020-10-20 |
| 1346855038 | Kimberly Ferguson | Technician | 4103 Reynolds Park Road, Paragould, AR 72450-2118 | 2020-09-10 |
| 1871104182 | Michele Lynn Jones | Technician | 2905 Stonegate Dr, Paragould, AR 72450 | 2020-08-11 |
| 1518584077 | Robert Ray Davis | Technician | 1519 Mulberry Salem Rd, Benton, AR 72019-8253 | 2020-07-01 |
| 1477179422 | Bianca Smith | Technician | 136 Pecan St, Marked Tree, AR 72365-1926 | 2020-06-24 |
| 1508482001 | Mid-south Personal Care Agency, LLC | Technician | 83 Harvard Rd, Marion, AR 72364-9738 | 2020-06-19 |
| 1568098036 | Lynn Hodge | Technician | 18803 Strawberry Plant Rd, Fayetteville, AR 72704-8587 | 2020-03-17 |
| 1225663073 | Martha Hall | Technician | 144 Morningside Drive, Marion, AR 72364 | 2020-03-11 |
| 1053945352 | Robert Leroy Johnson | Technician | 29 Tucker Rd, Hardy, AR 72542-9115 | 2020-02-25 |
| 1700410263 | Jessica Smith | Technician | 4112 Sugar Maple Ln, Little Rock, AR 72223-2161 | 2020-02-24 |
| Find all providers with the same taxonomy | ||||
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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.