HOLLY MARTIN VANDOREN (NPI# 1306445424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306445424 |
| Entity Type | Individual |
| Full Name | HOLLY MARTIN VANDOREN |
| Credential | MS |
| Practice Address |
11484 B Ave Auburn CA 95603-2603 |
| Mailing Address |
498 Lake Estates Dr Meadow Vista CA 95722-9569 |
| Practice Telephone | 5308863637 |
| Mailing Telephone | 5303922109 |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 103TS0200X |
Psychologist Specialization: School |
Behavioral Health & Social Service Providers |
| Street Address |
11484 B AVE |
| City | AUBURN |
| State | CA |
| Zip Code | 95603-2603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780731125 | Traci Marie Corda | Registered Nurse | 11484 B Ave, Auburn, CA 95603-2603 | 2007-01-05 |
| 1124657499 | Amy Lynn Shriver | Counselor | 11484 B Ave, Auburn, CA 95603-2603 | 2020-04-07 |
| 1104461359 | Alicia Hubert | Counselor | 11484 B Ave, Auburn, CA 95603-2603 | 2019-11-12 |
| 1477111672 | Courtney Elizabeth Daniels | Counselor | 11484 B Ave, Auburn, CA 95603-2603 | 2019-06-03 |
| 1225591126 | Andrea Amy Scantlin | Counselor | 11484 B Ave, Auburn, CA 95603-2603 | 2019-04-09 |
| 1144714635 | Sarah Dowdle | Registered Nurse | 11484 B Ave, Auburn, CA 95603-2603 | 2018-06-18 |
| 1265920508 | Samantha Hodge | Case Manager/Care Coordinator | 11484 B Ave, Auburn, CA 95603-2603 | 2018-04-23 |
| 1922501683 | Vineeta Lela Heston | Registered Nurse | 11484 B Ave, Auburn, CA 95603-2603 | 2018-03-08 |
| 1972015188 | Caylin Rose Woo | Counselor | 11484 B Ave, Auburn, CA 95603-2603 | 2017-10-27 |
| 1679092571 | Shawna Durigan | Social Worker | 11484 B Ave, Auburn, CA 95603-2603 | 2017-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487271508 | James Robert Thornton | Social Worker | 398 Rhoes View Dr, Auburn, CA 95603 | 2020-07-06 |
| 1437713674 | June Meja Razzano | Psychoanalyst | 265 Nevada Station, Auburn, CA 95603 | 2019-04-23 |
| 1689175366 | Georgia Lee Bates | Speech-Language Pathologist | 2145 Bell Road, 215, Auburn, CA 95603 | 2018-02-27 |
| 1811406085 | Veronica Evette Magana | Specialist | 11485 C Ave, Auburn, CA 95603 | 2017-09-20 |
| 1043733777 | Ken Rescate | Physical Therapist | 2145 Bell Road, #215, Auburn, CA 95603 | 2017-07-25 |
| 1730534975 | Juanita Carey | Counselor | 1190 Heritage Oak Place, Auburn, CA 95603 | 2016-04-25 |
| 1255747010 | Cara Wilber | Marriage & Family Therapist | 11512 B Avenure, Auburn, CA 95603 | 2014-07-01 |
| 1538572094 | Mark Garrison | Pharmacist | 13386 Lincoln Way, Auburn, CA 95603 | 2014-06-03 |
| 1427460583 | Tessa Jacques | Marriage & Family Therapist | 263 Nevada Station, Auburn, CA 95603 | 2014-05-23 |
| 1629497359 | Elisabeth Ann Neubert-cook | Registered Nurse | 11484 B. Avenue, Auburn, CA 95603 | 2014-04-09 |
| Find all providers in zip 95603 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215552864 | Nicole Beth Williams | Counselor | 701 High St Ste 205, Auburn, CA 95603-4734 | 2020-06-09 |
| 1801432547 | Cynthia Karen Bowman | Counselor | 240 Ginger Dr, Auburn, CA 95603-5714 | 2019-11-18 |
| 1477197432 | Monica R Molt | Counselor | 166 N Gay St Ste 21, Auburn, AL 36830-2004 | 2019-11-03 |
| 1902454291 | Sherry Monteith | Counselor | 178 Court St, Auburn, ME 04210-6917 | 2019-08-29 |
| 1861976813 | Joanna Hardman Treadwell | Counselor | 923 Stage Rd Ste M, Auburn, AL 36830-5157 | 2018-09-15 |
| 1851877963 | Morgan Jenkins | Counselor | 318 N College St Ste C, Auburn, AL 36830-3815 | 2018-07-12 |
| 1023594207 | Cynthia Caroline Williams | Counselor | 48 Sword St Ste 101, Auburn, MA 01501-2162 | 2018-07-11 |
| 1376032730 | Cindra Ann Jones | Counselor | 230 Auburn Way S Ste 1&2b, Auburn, WA 98002-5451 | 2018-05-01 |
| 1720585557 | Albert Walter Thomas | Counselor | 355 N College St, Auburn, AL 36830-3814 | 2018-04-09 |
| 1558874222 | Laura Dawn Logan | Counselor | 145 Fulweiler Ave Ste 200, Auburn, CA 95603-4536 | 2017-11-15 |
| Find all providers in AUBURN | ||||
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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.