HOLLY PORTILLO (NPI# 1063814101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063814101 |
| Entity Type | Individual |
| Full Name | HOLLY PORTILLO |
| Credential | NP |
| Practice Address |
894 Us Highway 77 Rosebud TX 76570 |
| Mailing Address |
894 Us Highway 77 Rosebud TX 76570-3325 |
| Practice Telephone | 2547212563 |
| Practice Fax Number | 2545837829 |
| Mailing Telephone | 2547212563 |
| Mailing Fax Number | 2545837829 |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2019-01-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP126462 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
894 US HIGHWAY 77 |
| City | ROSEBUD |
| State | TX |
| Zip Code | 76570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932686508 | Sterling Health & Wellness | Nurse Practitioner | 894 Us Highway 77, Rosebud, TX 76570-3325 | 2018-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194621 | Christine Marie Kidd | Registered Nurse | 412 S. Stallworth, Rosebud, TX 76570 | 2020-11-06 |
| 1578066114 | Wellness In The Golden Years, LLC | Nurse Practitioner | 421 W Est Main Street, Rosebud, TX 76570 | 2018-03-09 |
| 1447495015 | Cameron Hospital Inc | Clinic/Center | 205 South 5th Street, Rosebud, TX 76570 | 2008-12-10 |
| 1801095880 | Jinny Narula | Family Medicine | 205 S 5th Street, Rosebud, TX 76570 | 2007-07-11 |
| 1831292978 | James L Hailey Jr | Pharmacy | 112 North 4th St., Rosebud, TX 76570 | 2006-09-06 |
| 1003898263 | Heritage House Nursing and Rehabilitation Lp | Skilled Nursing Facility | 407 N. College Street, Rosebud, TX 76570-0656 | 2005-11-15 |
| 1184725988 | Joseph Lee Bielik | Physician Assistant | 115 Private Road 822, Rosebud, TX 76570-2203 | 2006-09-26 |
| 1194777540 | Falls Community Hospital and Clinic | Clinic/Center | 312 N Stallworth, Rosebud, TX 76570-2254 | 2006-05-16 |
| 1477189165 | Erin Holland | Nurse Practitioner | 312 N Stallworth, Rosebud, TX 76570-2254 | 2020-03-13 |
| 1881974319 | Rosebud I Enterprises, LLC | Skilled Nursing Facility | 407 N College, Rosebud, TX 76570-2292 | 2011-08-29 |
| Find all providers in zip 76570 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578066114 | Wellness In The Golden Years, LLC | Nurse Practitioner | 421 W Est Main Street, Rosebud, TX 76570 | 2018-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275778 | Anel Odette Chavez | Nurse Practitioner | 1006 Sage Ln, Edinburg, TX 78539-7820 | 2020-11-04 |
| 1104427335 | Randel Bond | Nurse Practitioner | 337 Woodstone Loop, Cibolo, TX 78108-3268 | 2020-11-04 |
| 1467051870 | Melinda Davis-mcclendon | Nurse Practitioner | 2158 River Edge Dr, Belton, TX 76513-1429 | 2020-10-19 |
| 1053910489 | Morgan Lee Lemoine | Nurse Practitioner | 1811 Stephen Dr, Wylie, TX 75098-0258 | 2020-10-17 |
| 1255939740 | Melissa Walles George | Nurse Practitioner | 941 Scotland Dr, Desoto, TX 75115-2058 | 2020-10-15 |
| 1487251377 | Karen Baricaua Bautista | Nurse Practitioner | 1912 78th St, Lubbock, TX 79423-2455 | 2020-10-05 |
| 1205443132 | Rincy P Mathew | Nurse Practitioner | 10935 Estate Ln Ste 400, Dallas, TX 75238-5110 | 2020-09-24 |
| 1326654724 | Connie Sue Fiser | Nurse Practitioner | 248 Cass Cir, Flint, TX 75762-6990 | 2020-09-21 |
| 1588279525 | Marquita Michelle Pickens | Nurse Practitioner | 6817 Historic Vw, Dallas, TX 75236-0109 | 2020-09-15 |
| 1033723184 | Rita Chibuzor Nwajei | Nurse Practitioner | 2726 Atlas Dr, Missouri City, TX 77459-6745 | 2020-09-06 |
| 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.