KIM HOLLOWAY (NPI# 1548378615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548378615 |
| Entity Type | Individual |
| Full Name | KIM HOLLOWAY |
| Other Name | KIM HOLLOWAY |
| Credential | CRNA |
| Practice Address |
159 Kercheval Ave Grosse Pointe MI 48236 |
| Mailing Address |
3107 Promenade Cir Ann Arbor MI 48108-1559 |
| Practice Telephone | 5865691329 |
| Mailing Telephone | 7342768054 |
| Mailing Fax Number | 9524423630 |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2018-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 4704222209 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS OF MI | KC222209 | 01 |
| MI | 104820177 | 05 |
| Street Address |
159 KERCHEVAL AVE |
| City | GROSSE POINTE |
| State | MI |
| Zip Code | 48236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323966 | Khairya Fatouh | Pathology | 22101 Morros Road, Pathology Department, Detroit, Detroit, MI 48236 | 2020-07-16 |
| 1134744998 | Harish Harry Gidda | Internal Medicine | 22201 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-06-08 |
| 1770107443 | Arshan Ali Khan | Internal Medicine | 22101 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-05-29 |
| 1750901658 | Annika Van Wieren | Emergency Medicine | 22101 Moross Road, Emergency Department, Detroit, MI 48236 | 2020-04-21 |
| 1801449483 | Ishaq Azeem Asghar | Student in an Organized Health Care Education/Training Program | 22101 Moross Road, Pathology Department, Detroit, MI 48236 | 2019-07-22 |
| 1295290443 | Ascension St. John Hospital | Dietitian, Registered | 22201 Moross, Ste. 270, Detriot, MI 48236 | 2019-02-01 |
| 1548747413 | Abiodun Adenuga Adefarasin | Pharmacist | 20746 Mack Avenue, Gross Pointe Woods, MI 48236 | 2018-07-24 |
| 1629564042 | Hamza H Khan | Student in an Organized Health Care Education/Training Program | 22201 Moross, Professional Building 2, Suite 70, Detroit, MI 48236 | 2018-07-09 |
| 1235631664 | David Lee Williams | Physical Therapist | 159 Kercheval Avenue, Grosse Pointe Farms, MI 48236 | 2018-03-01 |
| 1164979720 | Memphie Morgan | Licensed Practical Nurse | 91527 Cheshire St., Grosse Pointe, MI 48236 | 2016-09-01 |
| Find all providers in zip 48236 | ||||
| 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 |
|---|---|---|---|---|
| 1720398431 | Earl David Rupert | Nurse Anesthetist, Certified Registered | 468 Cadieux, Anesthesia, Grosse Pointe, MI 48230-1507 | 2010-10-15 |
| 1629148119 | Kathryn Marie Kiefer | Nurse Anesthetist, Certified Registered | 11 Sycamore Ln, Grosse Pointe, MI 48230-1936 | 2006-11-09 |
| 1578994679 | Jillian Catherine Fisher | Nurse Anesthetist, Certified Registered | 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 | 2013-11-29 |
| 1073853339 | Nayna Lal | Nurse Anesthetist, Certified Registered | 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 | 2013-02-25 |
| 1326387143 | Jillian Mouranie | Nurse Anesthetist, Certified Registered | 468 Cadieux Rd, Beaumont Crna-gp, Grosse Pointe, MI 48230-1507 | 2013-02-14 |
| 1821342940 | Caryn Marie Strzalka | Nurse Anesthetist, Certified Registered | 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 | 2012-10-29 |
| 1144524141 | Laura A Pytiak | Nurse Anesthetist, Certified Registered | 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 | 2011-01-05 |
| 1164732053 | Mark B. Wagner | Nurse Anesthetist, Certified Registered | 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 | 2010-10-14 |
| 1194059170 | Jodi R White-johnson | Nurse Anesthetist, Certified Registered | 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 | 2009-09-24 |
| 1194901835 | Carol L Burke | Nurse Anesthetist, Certified Registered | 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 | 2008-01-11 |
| Find all providers in GROSSE POINTE | ||||
| City | GROSSE POINTE |
| Zip Code | 48236 |
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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.