MRS. KRISTINE M PHILLIPS HOLLAND (NPI# 1063864619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063864619 |
| Entity Type | Individual |
| Full Name | MRS. KRISTINE M PHILLIPS HOLLAND |
| Credential | LISW-S |
| Practice Address |
11600 Durkee Rd Grafton OH 44044-9113 |
| Mailing Address |
3100 Euclid Ave Cleveland OH 44115-2508 |
| Practice Telephone | 4407486120 |
| Practice Fax Number | 2163612340 |
| Mailing Telephone | 2163614400 |
| Mailing Fax Number | 2163612340 |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2016-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041S0200X |
Social Worker Specialization: School |
I.0010048-SUPV | OH | Behavioral Health & Social Service Providers |
| Street Address |
11600 DURKEE RD |
| City | GRAFTON |
| State | OH |
| Zip Code | 44044-9113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548886625 | Kyle Metzger | Counselor | 11600 Durkee Rd, Grafton, OH 44044-9113 | 2020-06-24 |
| 1346793866 | Karen J Sharaba | Counselor | 11600 Durkee Rd, Grafton, OH 44044-9113 | 2016-08-02 |
| 1275086399 | Deborah Nagel | Licensed Practical Nurse | 11600 Durkee Rd, Grafton, OH 44044-9113 | 2016-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568918118 | Ann Motylewski | Social Worker | 2075 South Avon Beldon Blvd, Grafton, OH 44044 | 2016-09-01 |
| 1770995961 | Kimbrley D Clark | Counselor | 2057 S. Avon-belden Rd, Grafton, OH 44044 | 2014-05-22 |
| 1649396219 | Cynthia Kay Chrisulis | Licensed Practical Nurse | 1028 Center St, Grafton, OH 44044 | 2007-03-22 |
| 1649334970 | Grafton Township Trustees | Ambulance | 17109 Avon Belden Road, Grafton, OH 44044 | 2006-12-21 |
| 1528091667 | Eaton Township Ttee | Ambulance | 35955 E Royalton Rd, Grafton, OH 44044 | 2006-07-09 |
| 1366440778 | Firas Seffo | Family Medicine | Lake Hospital Systems East, Painesville, OH 44044 | 2005-07-09 |
| 1790909497 | Sarah Ann-marie Boone | Pharmacist | 479 Main St, Grafton, OH 44044 | 2007-04-12 |
| 1780700575 | Nelly J Ruebensaal | Pharmacist | 479 Main Street, Grafton, OH 44044 | 2007-03-22 |
| 1447778188 | Sarah Noel Stanton | Speech-Language Pathologist | 13080 Durkee Rd, Grafton, OH 44044-1122 | 2017-09-01 |
| 1023421112 | Ann Marie Spice | Speech-Language Pathologist | 13070 Durkee Rd, Grafton, OH 44044-1122 | 2014-06-05 |
| Find all providers in zip 44044 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457872 | Mariah Osborne | Social Worker | 4449 Oh-159, Chillicothe, OH 45601 | 2020-11-03 |
| 1295335800 | Blake Stuckey | Social Worker | 1750 Ansel Rd Apt 511, Cleveland, OH 44106-4103 | 2020-11-01 |
| 1659917029 | Cherisse Nicole Parrish | Social Worker | 6098 Pawnee Dr, Cincinnati, OH 45224-2312 | 2019-11-20 |
| 1821556697 | Joshua Micheal Perkins | Social Worker | 508 E Buchtel Ave Apt 3a, Akron, OH 44304-1950 | 2019-03-11 |
| 1710469135 | Kari Oberlin | Social Worker | 3903 Woodley Rd Suite 300, Toledo, OH 43606 | 2018-09-01 |
| 1780184580 | Shanae Thomas | Social Worker | 872 Mayfield Dr, Youngstown, OH 44512-6460 | 2018-02-19 |
| 1053811851 | Vakeyla Merriweather | Social Worker | 540 E Liberty St, Youngstown, OH 44505-1544 | 2018-02-19 |
| 1912414095 | Carlo Anthony Deascentis | Social Worker | 731 S Hazelwood Ave, Youngstown, OH 44509-2233 | 2018-01-10 |
| 1841709458 | Premier Professioal Group, LLC | Social Worker | 5025 Glendale Ave, Toledo, OH 43614-1855 | 2017-09-26 |
| 1124560347 | Danielle Baker | Social Worker | 2452 N High St, Apt 6, Columbus, OH 43202-2961 | 2016-11-07 |
| 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.