HOLLEY OSBORNE CRADDOCK (NPI# 1124362181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124362181 |
| Entity Type | Individual |
| Full Name | HOLLEY OSBORNE CRADDOCK |
| Credential | NP |
| Practice Address |
2050 Meadowview Pkwy Kingsport TN 37660-7475 |
| Mailing Address |
105 W Stone Dr Suite 6a Kingsport TN 37660-3365 |
| Practice Telephone | 4232305000 |
| Practice Fax Number | 4232305097 |
| Mailing Telephone | 4234087220 |
| Mailing Fax Number | 4234087405 |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2015-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
17150 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2050 MEADOWVIEW PKWY |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37660-7475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871547794 | Pulmonary Associates of Kingsport | Clinic/Center | 2050 Meadowview Pkwy, Suite 205, Kingsport, TN 37660-7332 | 2006-05-22 |
| 1023650934 | Kelly A Cox | Nurse Practitioner | 2050 Meadowview Pkwy, Kingsport, TN 37660-7475 | 2019-10-11 |
| 1811541303 | Alyson B Hull | Physician Assistant | 2050 Meadowview Pkwy, Kingsport, TN 37660-7475 | 2019-08-01 |
| 1265086003 | Shannon Oliver | Nurse Practitioner | 2050 Meadowview Pkwy, Kingsport, TN 37660-7475 | 2019-07-30 |
| 1962988410 | Jordan C Smith | Physician Assistant | 2050 Meadowview Pkwy, Kingsport, TN 37660-7475 | 2018-07-18 |
| 1912434820 | Kayla P Almanzor | Registered Nurse | 2050 Meadowview Pkwy, Kingsport, TN 37660-7475 | 2017-05-23 |
| 1174064950 | Tina A. Rose | Registered Nurse | 2050 Meadowview Pkwy, Kingsport, TN 37660-7475 | 2017-03-14 |
| 1992253140 | Melissa A. Arrowood | Nurse Practitioner | 2050 Meadowview Pkwy, Kingsport, TN 37660-7475 | 2016-09-16 |
| 1538617139 | Marcus K Byler | Registered Nurse | 2050 Meadowview Pkwy, Kingsport, TN 37660-7475 | 2016-09-13 |
| 1053784157 | Kristen N. Looney | Registered Nurse | 2050 Meadowview Pkwy, Kingsport, TN 37660-7475 | 2015-11-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909891 | Nancy Gober | Pharmacist | Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 | 2020-07-06 |
| 1700437621 | Tammy Denise Leblanc | Technician | 125 Lancer Rd, Kingsport, TN 37660 | 2019-09-23 |
| 1831743392 | Independent Physical Therapy | Occupational Therapist | 1704 E. Stone Dr. Ste 120, Kingsport, TN 37660 | 2019-08-01 |
| 1871095315 | Macie Anderson | Nurse Practitioner | 411 Clay St, Kingsport, TN 37660 | 2018-03-01 |
| 1053813527 | Pulitzer Orthodontics, LLC | Dentist | 1200 Pulitzer Place, Kingsport, TN 37660 | 2018-03-01 |
| 1174038749 | Sbh-kingsport | Psychiatric Hospital | 1025 Executive Park Blvd, Kingsport, TN 37660 | 2017-12-05 |
| 1548771447 | Sara B Ball | Registered Nurse | 111 W Stone Dr Ste 240, Kingsport, TN 37660 | 2017-10-18 |
| 1821525361 | Ashley Brook Weems | Nurse Practitioner | Six Sheridan Square Suite 100, Kingsport, TN 37660 | 2017-05-15 |
| 1639625643 | Stephanie H Garris | Nurse Practitioner | 117 W Sevier Ave Ste 120, Kingsport, TN 37660 | 2016-08-30 |
| 1073965679 | Teresa Anne Starke | Physician Assistant | 8 Sheridan Square, Suite 110, Kingsport, TN 37660 | 2016-07-07 |
| Find all providers in zip 37660 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588045280 | Sara Yarber | Nurse Practitioner | 415 Broad St, Suite 410, Kingsport, TN 37660-4263 | 2015-06-18 |
| 1699048066 | Elizabeth Michelle Crawford | Nurse Practitioner | 2 Sheridan Sq, Suite 200, Kingsport, TN 37660-7399 | 2012-02-16 |
| 1376512806 | Shannon Jones | Nurse Practitioner | 2205 Pavilion Dr, Suite 201, Kingsport, TN 37660-4641 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548191 | Anne Nicole Koethe | Nurse Practitioner | Saint Thomas Medical Group, 4230 Harding Pike #503, Nashville, TN 37205 | 2020-11-06 |
| 1063034429 | Jared Garrison | Nurse Practitioner | 700 Harbor Edge Dr Apt 102, Memphis, TN 38103-5840 | 2020-05-08 |
| 1548893472 | Caroline Kelly Pigford | Nurse Practitioner | 5737 Sarah Dr, Ooltewah, TN 37363-6465 | 2020-02-19 |
| 1447883343 | Jennifer Leigh Slater | Nurse Practitioner | 109 Williamsburg Blvd, Tullahoma, TN 37388-5412 | 2020-02-19 |
| 1811529118 | Michelle Filomena Grise | Nurse Practitioner | 1466 Tiny Town Rd, Clarksville, TN 37042-8291 | 2020-02-05 |
| 1902445935 | Brad Harrell, Dnp LLC | Nurse Practitioner | 233 Lackey Ln, Ripley, TN 38063-1619 | 2019-12-20 |
| 1861039612 | Teresa Hea Brown | Nurse Practitioner | 180 Melodie Cir, Henderson, TN 38340-3628 | 2019-11-27 |
| 1962044883 | Seph Kestner | Nurse Practitioner | 1215 21st Ave S Fl Mce5, Nashville, TN 37232-0014 | 2019-10-11 |
| 1003457409 | Leven Ward | Nurse Practitioner | 250 Hartfield Dr, Medina, TN 38355-8941 | 2019-10-07 |
| 1619527124 | Amelia Hoyt Laws | Nurse Practitioner | Vanderbilt University Medical Center 1211, Nashville, TN 37232-0001 | 2019-09-17 |
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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.