HOLLY MARIE CREAMER


Address: 971 E. Wichita Ave., Russell, KS 67665
Phone: 7856577464

HOLLY MARIE CREAMER (NPI# 1457820086) 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) 1457820086
Entity Type Individual
Full Name HOLLY MARIE CREAMER
Credential BCBA
Practice Address 971 E. Wichita Ave.
Russell
KS 67665
Practice Telephone 7856577464
Practice Fax Number 7854454042
Mailing Telephone 7856577464
Mailing Fax Number 7854454042
Enumeration Date 2018-11-13
Last Update Date 2019-05-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 385HR2055X Respite Care
Specialization: Respite Care, Mental Illness, Child
KS Respite Care Facility
N 103K00000X Behavioral Analyst Behavioral Health & Social Service Providers
N 222Q00000X Developmental Therapist KS Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
KS 201234000A 05

Office Location

Street Address 971 E. WICHITA AVE.
City RUSSELL
State KS
Zip Code 67665

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093784787 Jay D Keeler Chiropractor 758 E Wichita Ave, Russell, KS 67665 2006-03-15
1942272331 Gary King Crnic Dentist 971 E Wichita Ave, Russell, KS 67665 2006-02-02
1417943176 Sambhundh Panichabhongse Family Medicine 222 S Kansas, Rrh Physicians Clinic Ste B, Russell, KS 67665 2005-09-27
1770745382 The Clara Barton Hospital Association Inc Hoisington Kansas Family Medicine 410 N Main St, #c, Russell, KS 67665 2008-06-26
1689760886 Mark S Glenn Optometrist 702 N Kansas, Russell, KS 67665-0535 2006-10-05
1356437552 Drs Glenn and Glenn Inc Optometrist 702 N Kansas, Russell, KS 67665-0535 2006-10-05
1285764167 Paul M Lampert Od Pa Optometrist 124 East Wichita Avenue, Russell, KS 67665-0568 2007-03-07
1811027790 Paul M Lampert Optometrist 124 East Wichita Avenue, Russell, KS 67665-0568 2007-03-07
1396712097 Developmental Services of Northwest Kansas, Inc. Intermediate Care Facility, Mentally Retarded 129 E 16th St, Russell, KS 67665-1318 2006-03-02
1770957763 Melissa Bitter Pharmacist 725 N Main St, Russell, KS 67665-1902 2015-11-14
Find all providers in zip 67665

Taxonomy Information

Taxonomy Code 385HR2055X
Grouping Respite Care Facility
Classification Respite Care
Specialization Respite Care, Mental Illness, Child

Taxonomy Definition

A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1992287064 Restoration Family Services Respite Care 5120 E Central Ave Ste 3, Wichita, KS 67208-4168 2018-09-05
1063751592 Meaghan Palmer Respite Care 4101 West 24th Place, #710, Lawrence, KS 66047 2013-02-04
1245589985 Lucinda Melissa Broady Respite Care 2129 E Arrowhead Cir, Olathe, KS 66062-2468 2012-09-07
1558865857 Isaac W Reppert Respite Care 3223 N Oliver St, Wichita, KS 67220-2106 2018-03-21
1720582927 Lauren R Connor Respite Care 3223 N Oliver St, Wichita, KS 67220-2106 2018-03-21
1487800553 Janice M Mclaurin Respite Care 4031 E Harry St, Wichita, KS 67218-3724 2008-08-08

Competitor

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City RUSSELL
Zip Code 67665

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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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