RANDI MOORE HOLLIS


Address: 1220 E 3900 S Ste 1f, Salt Lake City, UT 84124-1327
Phone: 8012625711

RANDI MOORE HOLLIS (NPI# 1346642121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346642121
Entity Type Individual
Full Name RANDI MOORE HOLLIS
Credential FNP
Practice Address 1220 E 3900 S Ste 1f
Salt Lake City
UT 84124-1327
Practice Telephone 8012625711
Mailing Telephone 8012625711
Enumeration Date 2014-09-23
Last Update Date 2015-02-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 5038133-4405 UT Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1220 E 3900 S STE 1F
City SALT LAKE CITY
State UT
Zip Code 84124-1327

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487273298 Shannon Penny Price Social Worker 4465 Maybeck Place, Condo C, Millcreek, UT 84124 2020-04-11
1922654367 Joseph C Melvin Md PC Colon & Rectal Surgery 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 2019-08-12
1366923252 Melanie Stumpf Counselor 1141 E 3900, Suite A170, Salt Lake City, UT 84124 2018-08-28
1376033993 Michelle Flowers Speech-Language Pathologist 2120 East 3900 South, Ste 200, Holladay, UT 84124 2018-05-18
1740797257 Lissa Anne Hutchings Nurse Practitioner 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124 2018-01-05
1316465693 Randy Gines Counselor 4460 S Highland Drive # 230, Murray, UT 84124 2017-09-06
1417470717 Joshua Chandler Spencer Counselor 4460 South Highland Dr., 230, Murray, UT 84124 2017-07-19
1659891554 Marcus Whitney Counselor 4460 S Highland Dr. # 230, Murray, UT 84124 2017-06-21
1518496884 Courtney Nilson Counselor 4460 S. Highland Dr. #230, Murray, UT 84124 2017-06-08
1841687126 Intrafilrx Preferred Provider Organization 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 2015-04-23
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467085019 Hillary Price Nurse Practitioner 30 N Medical Drive, Salt Lake City, UT 84132-0001 2020-02-21
1467093328 Tessa Rachel Curtis Nurse Practitioner 1160 E 3900 S Ste 3100, Salt Lake City, UT 84124-1202 2019-10-02
1033773544 Marathon Health, LLC Nurse Practitioner 1930 S State St, Salt Lake City, UT 84115-2311 2019-04-30
1912488347 Wendy Jane Frey Nurse Practitioner 3490 E Hermes Dr, Salt Lake City, UT 84124-3211 2018-08-23
1851813299 Wayne Berg Nurse Practitioner 1060 E 100 S Ste 110, Salt Lake City, UT 84102-1591 2017-07-07
1982051785 Patricia M Starks Nurse Practitioner 2678 S Glenmare St, Salt Lake City, UT 84106-3606 2016-05-21
1215392287 Chad Dorman Dansie Nurse Practitioner 200 N Mario Capecchi Dr, Salt Lake City, UT 84132-0001 2015-12-17
1699049866 Keri Page Nurse Practitioner 100 Mario Capecchi Dr Ste 2600, Salt Lake City, UT 84113-1103 2012-03-05
1710267877 Trudy L. Hardin-reynolds Nurse Practitioner 825 Northcrest Dr, Salt Lake City, UT 84103-3320 2011-08-22
1508162736 Olympus Medical House Calls Nurse Practitioner 3096 Marie Cir, Salt Lake City, UT 84109-2446 2011-02-05
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Competitor

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City SALT LAKE CITY
Zip Code 84124

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Dataset Information

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.

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