WREN HOLLINGSWORTH (NPI# 1205308095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205308095 |
| Entity Type | Individual |
| Full Name | WREN HOLLINGSWORTH |
| Credential | CNP |
| Practice Address |
100 Mac Ln Pierre SD 57501-3391 |
| Practice Telephone | 6052245901 |
| Mailing Telephone | 6052245901 |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2018-12-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CP001513 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
100 MAC LN |
| City | PIERRE |
| State | SD |
| Zip Code | 57501-3391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770514234 | Vilas Pharmacy | Durable Medical Equipment & Medical Supplies | 100 Mac Ln, Suite #2, Pierre, SD 57501-3391 | 2006-07-05 |
| 1134750011 | Kacey Beth Hutchison | Social Worker | 100 Mac Ln, Pierre, SD 57501-3391 | 2020-01-30 |
| 1578028981 | Jada Hawkinson | Nurse Practitioner | 100 Mac Ln, Pierre, SD 57501-3391 | 2019-02-11 |
| 1326518556 | Jessica Rumpca | Nurse Practitioner | 100 Mac Ln, Pierre, SD 57501-3391 | 2018-11-30 |
| 1750865192 | Kelsey Marie Hupp | Nurse Practitioner | 100 Mac Ln, Pierre, SD 57501-3391 | 2018-09-21 |
| 1073097895 | Ali Marie Smith | Nurse Practitioner | 100 Mac Ln, Pierre, SD 57501-3391 | 2018-09-18 |
| 1609357623 | Brittany Bo Kerr | Physician Assistant | 100 Mac Ln, Pierre, SD 57501-3391 | 2018-08-27 |
| 1881196319 | Allison Jo Bradshaw | Nurse Practitioner | 100 Mac Ln, Pierre, SD 57501 | 2018-02-28 |
| 1932651122 | Avera St. Mary's | Pharmacy | 100 Mac Ln, Suite 101, Pierre, SD 57501-3391 | 2016-11-04 |
| 1073063905 | Ericka Leslie Petersen | Nurse Practitioner | 100 Mac Ln, Pierre, SD 57501-3391 | 2016-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518420694 | Shawna K Fullerton | Social Worker | 1309 E Wells Ave, Pierre, SD 57501 | 2019-04-07 |
| 1841779758 | Joanne Sarringar | Physical Therapist | 801 E. Sioux Avenue, Pierre, SD 57501 | 2018-08-10 |
| 1003234832 | Katherine Bonnichsen | Dermatology | Avera Medical Group Pierre - Helmsley Center, 801 E Sioux Ave, Pierre, SD 57501 | 2014-03-29 |
| 1417232166 | Louis J Van Roekel | Pharmacist | 100 E Sioux, Pierre, SD 57501 | 2011-10-13 |
| 1508164401 | Bechtold Thompson Dental Clinic | Dentist | 640 E. Sioux Ave, Pierre, SD 57501 | 2011-03-02 |
| 1417180969 | Dentistry At The St. Charles LLC | Dentist | 207 E. Capitol Ave. Ste 201, Pierre, SD 57501 | 2009-09-01 |
| 1063663995 | Buron O. Lindbloom | Family Medicine | 3200 E. Hwy 34, S.d. Womens Prison, Pierre, SD 57501 | 2008-10-09 |
| 1831221522 | Curt C Kuehl | Chiropractor | 430 W Sioux Ave, Pierre, SD 57501 | 2007-03-09 |
| 1376603092 | Tim Wald | Physical Therapist | 1012 Woodview Dr #20, Pierre, SD 57501 | 2006-12-11 |
| 1184702540 | Tami Lynn Hogie-lorenzen | Nurse Practitioner | 1714 Abbey Road, Pierre, SD 57501 | 2006-11-02 |
| Find all providers in zip 57501 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689690919 | Kathryn Ann Hettinger | Nurse Practitioner | 1714 Abbey Rd, Pierre, SD 57501-7805 | 2006-07-13 |
| 1578028981 | Jada Hawkinson | Nurse Practitioner | 100 Mac Ln, Pierre, SD 57501-3391 | 2019-02-11 |
| 1326518556 | Jessica Rumpca | Nurse Practitioner | 100 Mac Ln, Pierre, SD 57501-3391 | 2018-11-30 |
| 1750865192 | Kelsey Marie Hupp | Nurse Practitioner | 100 Mac Ln, Pierre, SD 57501-3391 | 2018-09-21 |
| 1073097895 | Ali Marie Smith | Nurse Practitioner | 100 Mac Ln, Pierre, SD 57501-3391 | 2018-09-18 |
| 1881196319 | Allison Jo Bradshaw | Nurse Practitioner | 100 Mac Ln, Pierre, SD 57501 | 2018-02-28 |
| 1073063905 | Ericka Leslie Petersen | Nurse Practitioner | 100 Mac Ln, Pierre, SD 57501-3391 | 2016-10-04 |
| 1194185009 | Kimberly Haines | Nurse Practitioner | 640 E Sioux Ave, Pierre, SD 57501-3300 | 2016-03-04 |
| 1558703926 | Jamie Alyssa Hillmer | Nurse Practitioner | 100 Mac Ln, Pierre, SD 57501-3391 | 2013-07-25 |
| 1063857233 | Julie Ann Cox | Nurse Practitioner | 100 Mac Ln, Pierre, SD 57501-3391 | 2013-05-01 |
| Find all providers in PIERRE | ||||
Please comment or provide details below to improve the information on WREN HOLLINGSWORTH.
| 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.