KELLEE A HOLLENBECK (NPI# 1184916850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184916850 |
| Entity Type | Individual |
| Full Name | KELLEE A HOLLENBECK |
| Credential | PA-C |
| Practice Address |
310 N 9th St Bismarck ND 58501-4515 |
| Practice Telephone | 7015308800 |
| Practice Fax Number | 7017514550 |
| Mailing Telephone | 7015308800 |
| Mailing Fax Number | 7017514550 |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2011-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | R29359 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 12658 | 05 |
| Street Address |
310 N 9TH ST |
| City | BISMARCK |
| State | ND |
| Zip Code | 58501-4515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508842154 | Duncan B Ackerman | Orthopaedic Surgery | 310 N 9th St, Bismarck, ND 58501-4515 | 2005-12-15 |
| 1194367250 | Erin House | Physical Therapist | 310 N 9th St, Bismarck, ND 58501-4515 | 2019-10-10 |
| 1114589405 | Shacara Pratt | Specialist/Technologist | 310 N 9th St, Bismarck, ND 58501-4515 | 2019-07-08 |
| 1255734588 | Miranda Huffman | Physical Therapist | 310 N 9th St, Bismarck, ND 58501-4515 | 2014-10-01 |
| 1740575851 | Brock Norrie | Orthopaedic Surgery | 310 N 9th St, Bismarck, ND 58501-4515 | 2011-06-16 |
| 1801104039 | Nicole Frank | Physician Assistant | 310 N 9th St, Bismarck, ND 58501-4515 | 2010-09-22 |
| 1194957019 | Erica F Mittleider | Physician Assistant | 310 N 9th St, Bismarck, ND 58501-4508 | 2009-08-11 |
| 1235398900 | Shauna R Norrie | Occupational Therapist | 310 N 9th St, Bismarck, ND 58501-4515 | 2008-06-06 |
| 1588873186 | Chad Blake Carlson | Orthopaedic Surgery | 310 N 9th St, Bismarck, ND 58501-4515 | 2007-05-21 |
| 1609938182 | Coleen Staloch | Physician Assistant | 310 N 9th St, Bismarck, ND 58501-4508 | 2006-12-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811500911 | Sonja Lee Bosch | Counselor | 101 E. Broadway Ave Heartview Foundation, Bismarck, ND 58501 | 2020-08-28 |
| 1649740630 | Stephanie Marie Simburger | Social Worker | 3111 East Broadway Ave, Bismarck, ND 58501 | 2018-12-03 |
| 1679042519 | Prairie Rose Family Dentists | Dentist | 1110 College Dr., Suite 110, Bismark, ND 58501 | 2018-11-21 |
| 1386111276 | Arielle Joy Flynn | Genetic Counselor, MS | 414 N Seventh Street, Bismarck, ND 58501 | 2018-10-29 |
| 1164901799 | Karalee Joy Harper | Counselor | 101 E. Broadway Ave, Bismarck, ND 58501 | 2018-08-14 |
| 1518457811 | Myckenzie Saari | Behavior Technician | 1929 N Washington St., Bismarck, ND 58501 | 2018-05-14 |
| 1831687532 | Jacquelyn Mahoney | Behavioral Analyst | 604 North Ave, Bismarck, ND 58501 | 2018-04-27 |
| 1710403811 | Kayla Marie Watson | Behavior Technician | 1500 E. Capitol Ave, Suite 200, Bismarck, ND 58501 | 2017-08-21 |
| 1306368220 | Scott Vandyke | Occupational Therapist | 300 N. 7th St, Bismarck, ND 58501 | 2017-07-12 |
| 1144670019 | Bismarck Psychological Associates, Pllc | Psychologist | 107 W. Main Ave., Suite 225, Bismarck, ND 58501 | 2016-06-21 |
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| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992304695 | Transitions Healthcare Pllc Dba Transitions Healthcare | Nurse Practitioner | 7500 Sentinel St, Bismarck, ND 58504-9615 | 2020-10-22 |
| 1871154211 | Chelsea Vollmer | Nurse Practitioner | 4535 Northern Sky Dr Ste 1, Bismarck, ND 58503-8539 | 2019-06-26 |
| 1700446192 | Mckinzie Marie Nuss | Nurse Practitioner | 3201 Rutland Dr, Bismarck, ND 58504-7602 | 2019-06-18 |
| 1609277144 | Katie Horner | Nurse Practitioner | 4503 Coleman St, Suite 208, Bismarck, ND 58503-2006 | 2014-09-15 |
| 1811302623 | Jeremy Melander | Nurse Practitioner | 310 N. 9th Street, Bismarck, ND 58501 | 2014-07-01 |
| 1710392600 | Mary Eggers | Nurse Practitioner | 300 North Seventh Street, Bismarck, ND 58501 | 2014-06-30 |
| 1457766073 | Altegra Health Connections, LLC | Nurse Practitioner | 314 E Thayer Ave, Bismarck, ND 58501-4018 | 2014-06-23 |
| 1801105531 | Ian L. Greybull | Nurse Practitioner | 300 West Century Ave, Bismarck, ND 58503 | 2010-09-29 |
| 1952454829 | Jolene Engelhart | Nurse Practitioner | 1229 Laramie Dr, Bismarck, ND 58504-6441 | 2007-01-22 |
| 1710074570 | Bonnie Lou Clark | Nurse Practitioner | 200 East Main Avenue, Suite 202, Bismarck, ND 58501 | 2006-10-05 |
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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.