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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KS | 201234000A | 05 |
Street Address |
971 E. WICHITA AVE. |
City | RUSSELL |
State | KS |
Zip Code | 67665 |
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 Code | 385HR2055X |
Grouping | Respite Care Facility |
Classification | Respite Care |
Specialization | Respite Care, Mental Illness, Child |
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] |
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 |
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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.