DR. TOPAZ JERILYN HOLLOWAY (NPI# 1194151993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194151993 |
Entity Type | Individual |
Full Name | DR. TOPAZ JERILYN HOLLOWAY |
Credential | AGPCNP |
Practice Address |
4154 W Vienna Rd Clio MI 48420-2809 |
Practice Telephone | 8106871008 |
Mailing Telephone | 8106871008 |
Enumeration Date | 2013-09-25 |
Last Update Date | 2014-10-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
4704257322 | MI | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
4704257322 | MI | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
4704257322 | MI | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
4154 W VIENNA RD |
City | CLIO |
State | MI |
Zip Code | 48420-2809 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326140906 | Jonathan A. Arbogast | Family Medicine | 4154 W Vienna Rd, Clio, MI 48420-9402 | 2006-09-02 |
1942791074 | Mary Nelson Sabo | Nurse Practitioner | 4154 W Vienna Rd, Clio, MI 48420-2809 | 2018-05-24 |
1083082317 | Danielle Marie Holt | Nurse Practitioner | 4154 W Vienna Rd, Clio, MI 48420-2809 | 2015-09-03 |
1407138399 | Desirae Dyan Delbridge | Physician Assistant | 4154 W Vienna Rd, Clio, MI 48420-2809 | 2011-09-15 |
1922245299 | Hamilton Community Health Network Inc. | Clinic/Center | 4154 W Vienna Rd, Clio, MI 48420-2809 | 2009-01-08 |
1407009640 | Tamika Monique Morrow | Nurse Practitioner | 4154 W Vienna Rd, Clio, MI 48420-2809 | 2008-10-31 |
1457579161 | Genesys Integrated Group Practice PC | Clinic/Center | 4154 W Vienna Rd, Clio, MI 48420-9402 | 2007-04-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629544382 | Erika Joyclyn Marie Ahmad | Behavioral Analyst | Nation of Wonders Inclusive Education, 19211 Beech Daly, Redford, MI 48420 | 2018-10-22 |
1770990335 | Matthew Kanelos | Physician Assistant | 11307 N Linden Rd, B, Clio, MI 48420 | 2014-07-16 |
1184968679 | Amd Urgent Medical Care, Pllc | Clinic/Center | 11307 N. Linden Rd Suite B, Clio, MI 48420 | 2012-11-21 |
1790032928 | Stephanie Rasmussen | Speech-Language Pathologist | 509 Hidden Creek Trail, Clio, MI 48420 | 2012-08-07 |
1386976801 | Kathryn Sue Klamert | Occupational Therapist | 12194 Neff Road, Clio, MI 48420 | 2010-02-09 |
1699836346 | Stone Creek Manor | Technician | 609 Stone Creek Pass, Clio, MI 48420 | 2006-12-13 |
1518061985 | Visiting Nurse Services of Michigan | Durable Medical Equipment & Medical Supplies | 11493 N. Linden Rd, Clio, MI 48420 | 2006-09-07 |
1619084712 | Lorraine Byers-miller | Optometrist | 11493 North Linden Rd, Clio, MI 48420 | 2006-08-24 |
1093766370 | Donald Christ Lutz | Podiatrist | 4091 W Vienna Rd, Clio, MI 48420 | 2006-05-12 |
1619306875 | Borden S Family Pharmacy LLC | Pharmacy | 415 W Vienna St, Clio, MI 48420 | 2013-11-07 |
Find all providers in zip 48420 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083082317 | Danielle Marie Holt | Nurse Practitioner | 4154 W Vienna Rd, Clio, MI 48420-2809 | 2015-09-03 |
1407009640 | Tamika Monique Morrow | Nurse Practitioner | 4154 W Vienna Rd, Clio, MI 48420-2809 | 2008-10-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275130619 | Mohammad Afzal Khan | Nurse Practitioner | 29147 Appleblossom Ln, Farmington Hills, MI 48331-2420 | 2020-10-08 |
1528679305 | Eriko Apriliando | Nurse Practitioner | 15300 Silver Pkwy Apt 208, Fenton, MI 48430-3479 | 2020-08-13 |
1245858307 | Katherine Perko Hollander | Nurse Practitioner | 2274 Earlmont Rd, Berkley, MI 48072-1877 | 2020-07-06 |
1437782067 | Jamie Lynn Kosalsky | Nurse Practitioner | 1385 Cadmus Dr, Troy, MI 48085-1218 | 2020-02-21 |
1326698309 | Maria Christina Mekas | Nurse Practitioner | 423 Tamarack Dr, Saline, MI 48176-9573 | 2019-09-12 |
1669021358 | Cheryl Fowler | Nurse Practitioner | 523 Fontenelle St Se, Grand Rapids, MI 49548-7316 | 2019-09-05 |
1205482387 | Sarah E Born | Nurse Practitioner | 517 Erie Street, Three Rivers, MI 49093-2029 | 2019-08-14 |
1023660321 | Cheri Van Wyngarden | Nurse Practitioner | 6250 Jupiter Ave Ne, Belmont, MI 49306-8711 | 2019-07-16 |
1194385500 | Adesuwa Iyoha | Nurse Practitioner | 30509 Halecreek St, Romulus, MI 48174-3224 | 2019-06-18 |
1740740190 | John Kenneth Dekock | Nurse Practitioner | 5327 48th Ave, Hudsonville, MI 49426-9412 | 2019-03-21 |
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.