HOLLY BOHANNAN (NPI# 1326097890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326097890 |
| Entity Type | Individual |
| Full Name | HOLLY BOHANNAN |
| Credential | CRNA MSNA |
| Practice Address |
3000 Medical Center Parkway Bentonville AR 72712 |
| Mailing Address |
18802 Coppermine Rd Rogers AR 72756-8148 |
| Practice Telephone | 4795306649 |
| Mailing Telephone | 4799257882 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2010-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | R65511 | AR | Nursing Service Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | C02604 CRNA | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3000 MEDICAL CENTER PARKWAY |
| City | BENTONVILLE |
| State | AR |
| Zip Code | 72712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770559593 | Todd William Logsdon | Radiology | 3000 Medical Center Parkway, Bentonville, AR 72712 | 2006-02-23 |
| 1790733301 | Gene Bruce Waldon | Internal Medicine | 3000 Medical Center Parkway, Bentonville, AR 72712 | 2006-05-05 |
| 1639145329 | David Shane Mcalister | Radiology | 3000 Medical Center Parkway, Bentonville, AR 72712 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662345 | Bentonville Ambulatory Surgery Center, LLC | Pain Medicine | 2902 We Mid-cities Dr, Bentonville, AR 72712 | 2020-09-08 |
| 1942837059 | Amy Crumpton | Counselor | 3504 Se Riveria Road, Bentonville, AR 72712 | 2020-03-26 |
| 1295361509 | Unbridled Holdings LLC | Physical Therapy Assistant | 9900 Price Coffee Rd, Bentonville, AR 72712 | 2020-03-18 |
| 1649803552 | Hanna Kathryn Baxendale | Pediatrics | 2900 Medical Pkwy, Ste #370, Bentonville, AR 72712 | 2020-02-19 |
| 1740746635 | Meredith C Hodges | Counselor | 2508 Se 2oth St, Bentonville, AR 72712 | 2019-02-15 |
| 1609352566 | Tripharma Inc | Pharmacy | 3500 Sw Regional Airport Blvd Ste 2, Bentonville, AR 72712 | 2018-07-13 |
| 1811406747 | Upspring Therapy, LLC | Counselor | 2106 Sw Walton Blvd, Suite B, Bentonville, AR 72712 | 2017-09-22 |
| 1023536836 | Charlotte Yuvonne Hoyle | Case Manager/Care Coordinator | 2005 S.e Walton Blvd., Bentonville, AR 72712 | 2017-08-31 |
| 1508399502 | Rosanna Nicole Rephan | Nurse Practitioner | 3101 14th St, Mercy Convenient Care, Bentonville, AR 72712 | 2017-04-06 |
| 1417305517 | Charlotte Lennette Stephenson | Behavioral Analyst | 2005 S.e. Walton Blvd., Bentonville, AR 72712 | 2016-05-31 |
| Find all providers in zip 72712 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (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. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598771958 | Scott Daniel Scruton | Nurse Anesthetist, Certified Registered | 1614 Ne Greenbrier Rd, Bentonville, AR 72712-8446 | 2006-07-31 |
| 1437332434 | Mary A Shenker Crna Pa | Nurse Anesthetist, Certified Registered | 2900 Medical Center Pkwy, Suite 300, Bentonville, AR 72712-3204 | 2007-12-12 |
| 1447281670 | Bentonville Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 3000 Medical Center Pkwy, Bentonville, AR 72712-3217 | 2006-07-05 |
| 1427006550 | Kathleen Mary Hall | Nurse Anesthetist, Certified Registered | 1000 Se 13th Court, Bentonville, AR 72712 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184231623 | Prime Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 3711 Stillman Loop, Bryant, AR 72022-9074 | 2020-09-29 |
| 1902414584 | Kevin Hannah, LLC | Nurse Anesthetist, Certified Registered | 11446 Mountain Spring Dr, Fayetteville, AR 72701-0422 | 2020-07-20 |
| 1356961114 | Kayla Brooke Mazzanti | Nurse Anesthetist, Certified Registered | 1401 Scott St Apt 411, Little Rock, AR 72202-5083 | 2020-04-22 |
| 1396364030 | Caleb Casey Tolbert | Nurse Anesthetist, Certified Registered | 42 Bryson Dr, Ward, AR 72176-9639 | 2020-04-13 |
| 1013551480 | Polk Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 5800 W 10th St Ste P1, Little Rock, AR 72204-1700 | 2019-10-29 |
| 1699327841 | Mana Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 3344 N Futrall Dr Ste 3, Fayetteville, AR 72703-4057 | 2019-07-09 |
| 1275196065 | Amanda Sharrell Thomas | Nurse Anesthetist, Certified Registered | 1 Willow Creek Ln Apt 1111, Jonesboro, AR 72404-8098 | 2019-04-17 |
| 1700343324 | Benjamin Jeffrey Spillyards | Nurse Anesthetist, Certified Registered | 22020 Dixie Rd, Little Rock, AR 72223-9269 | 2019-03-01 |
| 1245728914 | Karina Coats | Nurse Anesthetist, Certified Registered | 2409 Skyline Pt, Jonesboro, AR 72404 | 2018-04-27 |
| 1154818292 | Lindy Sanders Page | Nurse Anesthetist, Certified Registered | 4406 Catskill Ave, Benton, AR 72019-4906 | 2018-04-14 |
| Find all providers with the same taxonomy | ||||
| City | BENTONVILLE |
| Zip Code | 72712 |
Please comment or provide details below to improve the information on HOLLY BOHANNAN.
| 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.