RUTH RENEE HOLLEY (NPI# 1396107587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396107587 |
| Entity Type | Individual |
| Full Name | RUTH RENEE HOLLEY |
| Credential | APN |
| Practice Address |
28747 Concord Rd Palmyra IL 62674-6432 |
| Practice Telephone | 2175564893 |
| Mailing Telephone | 2175564893 |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2016-03-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.014088 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
28747 CONCORD RD |
| City | PALMYRA |
| State | IL |
| Zip Code | 62674-6432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770634438 | Northwestern Area Ambulance Rescue Service, Inc | Ambulance | 114 E State, Palmyra, IL 62674 | 2007-01-16 |
| 1598901563 | Lisa Carolyn Cox | Specialist | 30940 Four Corner Rd, Palmyra, IL 62674-4506 | 2008-12-22 |
| 1467077537 | Rebbecca Camerer | Nurse Practitioner | 412 W Locust St, Palmyra, IL 62674-4538 | 2020-06-14 |
| 1649472119 | Northwestern Cu Sch Dist 2 | Local Education Agency (LEA) | 30953 Route 111, Palmyra, IL 62674-6304 | 2007-06-05 |
| 1497977623 | Kay Alborn Weller | Developmental Therapist | 30746 Robin Rd, Palmyra, IL 62674-6644 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507955 | Jessie Hubright | Registered Nurse | 4634 S Creek Rd, Palmyra, NY 14522-9728 | 2020-10-29 |
| 1255947503 | Brittany Leigh Sanders | Social Worker | 46 Woodlawn Dr, Palmyra, VA 22963-2732 | 2020-09-22 |
| 1487269759 | Stephanie Elizabeth Petersen | Social Worker | 153 Salzburg Vlg, Palmyra, NY 14522-1343 | 2020-09-13 |
| 1730794256 | Lucy Hill Services | Case Manager/Care Coordinator | 3 Drew Ct, Palmyra, VA 22963-2700 | 2020-09-11 |
| 1255946166 | Rachael Omdoll | Dietitian, Registered | 700 Airview Dr, Palmyra, WI 53156-9204 | 2020-09-09 |
| 1720699457 | Rebecca Lee Riddle-whitlow | Social Worker | 13623 James Madison Hwy, Palmyra, VA 22963-4300 | 2020-08-14 |
| 1487265401 | Erin Chapman Dpt | Clinic/Center | 10 Seminole Trl, Palmyra, VA 22963-3157 | 2020-08-13 |
| 1255942017 | Mary Kendt | Registered Nurse | 250 Johnson St Apt 5d, Palmyra, NY 14522-1452 | 2020-08-13 |
| 1366053605 | Byam Counseling LLC | Counselor | 86 Joshua Ln, Palmyra, VA 22963-6208 | 2020-08-11 |
| 1023628922 | Wendy Childs | Dietitian, Registered | 724 Parry Ave, 1st Floor, Palmyra, NJ 08065 | 2020-08-05 |
| Find all providers in PALMYRA | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467077537 | Rebbecca Camerer | Nurse Practitioner | 412 W Locust St, Palmyra, IL 62674-4538 | 2020-06-14 |
| 1962991018 | Catherine Pendleton Davis | Nurse Practitioner | 83 Jefferson Dr, Palmyra, VA 22963-2022 | 2018-05-04 |
| 1497142038 | Lolita Brown | Nurse Practitioner | 938 Cinnaminson Ave, Palmyra, NJ 08065-1805 | 2015-04-21 |
| 1932307311 | Rebecca Ann Mcallister | Nurse Practitioner | 125 N. Third St, Suite E, Palmyra, WI 53156-5315 | 2007-07-06 |
| 1609204569 | Lissette Kinsella | Nurse Practitioner | 33 Rebecca Dr, Palmyra, VA 22963-6242 | 2013-10-30 |
| 1124333661 | Elizabeth Amalia Ross | Nurse Practitioner | 1573 Main St, Palmyra, ME 04965-3236 | 2010-08-09 |
| 1821159211 | Vicky Byrne Generelly | Nurse Practitioner | 5766 Thomas Jefferson Pkwy, Palmyra, VA 22963-4383 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760277 | Jennifer Michelle Kennedy | Nurse Practitioner | 3006 Lakeview Dr, Metropolis, IL 62960-3119 | 2020-11-07 |
| 1881295541 | Britney Julia Durst | Nurse Practitioner | 5905 N Prospect Rd, Peoria, IL 61614-4311 | 2020-11-07 |
| 1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
| 1932700911 | Laura Ivette Portillo | Nurse Practitioner | 2727 N Marmora Ave, Chicago, IL 60639-1219 | 2020-11-05 |
| 1265033385 | Carolle M Derradji | Nurse Practitioner | 3256 W Potomac Ave, Chicago, IL 60651-2411 | 2020-11-04 |
| 1104427293 | Katie Michelle O'halloran | Nurse Practitioner | 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 | 2020-11-04 |
| 1598365140 | Caitlyn Windsor | Nurse Practitioner | 24525 Grange Rd, Geneseo, IL 61254-8429 | 2020-10-31 |
| 1578163515 | Deanna Bassette | Nurse Practitioner | 243 E 31st St Apt 401, Chicago, IL 60616-5212 | 2020-10-29 |
| 1891395745 | Vrunda Shah Patel | Nurse Practitioner | 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 | 2020-10-29 |
| 1346840337 | Catherine Suh | Nurse Practitioner | 1380 Marcy Ln, Wheeling, IL 60090-4422 | 2020-10-28 |
| 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.