HOLLY JOY NELSON (NPI# 1063035152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063035152 |
Entity Type | Individual |
Full Name | HOLLY JOY NELSON |
Practice Address |
11894 S Landou Dr Draper UT 84020-6805 |
Practice Telephone | 8013620326 |
Mailing Telephone | 8013620326 |
Enumeration Date | 2020-05-22 |
Last Update Date | 2020-05-22 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
UT | 1164073086 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003009796 | Holly Anne Nelson | Anesthesiology | 12040 Ne 128th St # Ms 69, Kirkland, WA 98034-3013 | 2007-08-25 |
1154920866 | Holly Nelson | Occupational Therapist | 4910 Forge Haven Dr, Perry Hall, MD 21128-9759 | 2020-10-22 |
1619517695 | Holly Theresa Nelson | Counselor | 17255 Oak Park Ave, Tinley Park, IL 60477-3401 | 2020-01-08 |
1790345122 | Holly Brooke Nelson | Physical Therapist | 5395 Highway 136, Trenton, GA 30752-2900 | 2019-06-18 |
1437650041 | Holly Marie Nelson | Speech-Language Pathologist | 8700 E 29th St N, Wichita, KS 67226-2169 | 2018-02-28 |
1750731899 | Holly Nelson | Massage Therapist | 104 5th St, Hood River, OR 97031-2058 | 2016-06-20 |
1801149349 | Holly Nelson | Social Worker | 4531 Se Belmont St, Suite 100, Portland, OR 97215-1675 | 2012-10-22 |
1467751818 | Holly A Nelson | Case Manager/Care Coordinator | 3020 Childrens Way, 3020 Children's Way, San Diego, CA 92123-4223 | 2011-03-24 |
1063685998 | Holly Chang Nelson | Pediatrics | 4808 Mcmahon Blvd Nw, Albuquerque, NM 87114-5010 | 2008-04-11 |
Street Address |
11894 S LANDOU DR |
City | DRAPER |
State | UT |
Zip Code | 84020-6805 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194322776 | Chase Larsen Dmd Pllc | Dentist | 723 E 12200 S, Draper, UT 84020 | 2020-10-06 |
1780222380 | Derek Cragun | Counselor | 11706 700 E, Draper, UT 84020 | 2019-12-13 |
1720629371 | Own My Health Medical | Clinic/Center | 12371 900 E, Suite 102, Draper, UT 84020 | 2019-10-04 |
1508418856 | Thomas Mifflin | Physician Assistant | 721 East 12200 South, Draper, UT 84020 | 2019-07-16 |
1124670872 | Necia Dalley | Registered Nurse | 11800 S State St, Draper, UT 84020 | 2019-07-12 |
1285100784 | Tracey M Williams | Psychologist | 13200 S 1601 E, Draper, UT 84020 | 2018-10-23 |
1275008328 | Amoni Paeahelotu Finau | Community Health Worker | 13703 Wheatfield Way, Draper, UT 84020 | 2018-10-04 |
1891275525 | Cynthia Mae Bolton | Psychologist | 1192 E Draper Parkway # 447, Draper, UT 84020 | 2018-08-21 |
1164908026 | Headin' Home Inc. | Community/Behavioral Health | 12300 S. 150 W., Draper, UT 84020 | 2018-07-13 |
1366932576 | Forest Hulet | Dentist | 219 E 12300, Ste I-5, Draper, UT 84020 | 2018-05-14 |
Find all providers in zip 84020 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316565195 | Dennis Vibert Woodruff | Counselor | 11576 S State St Ste 303, Draper, UT 84020-7112 | 2020-07-08 |
1629693122 | Jared Blaine Twitchell | Counselor | 12397 S 300 E Ste 100, Draper, UT 84020-8274 | 2020-06-10 |
1780222380 | Derek Cragun | Counselor | 11706 700 E, Draper, UT 84020 | 2019-12-13 |
1255978607 | Brian Lewis | Counselor | 138 E 12300 S Ste C188, Draper, UT 84020-7976 | 2019-12-04 |
1235771411 | David Zane | Counselor | 13268 S Aintree Ave, Draper, UT 84020-8831 | 2019-10-09 |
1750936605 | Aleksandra Sinclair | Counselor | 2046 E Eagle Crest Dr, Draper, UT 84020-5705 | 2019-08-07 |
1720438005 | Steve Merrin | Counselor | 12548 S 150 E, Draper, UT 84020-8611 | 2016-06-16 |
1801207477 | Advantage Counseling Services | Counselor | 11587 S State Street, 1001, Draper, UT 84020 | 2014-05-16 |
1922437177 | Jeff Horton | Counselor | 11576 S State St Ste 102a, Draper, UT 84020-7121 | 2013-11-08 |
1558600254 | Stephanie Tayshia Rowan-bailey | Counselor | 782 E Pioneer Rd # 100, Draper, UT 84020-5734 | 2013-02-01 |
Find all providers in DRAPER |
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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.