KELLEY M HOLLINGSWORTH (NPI# 1558602003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558602003 |
| Entity Type | Individual |
| Full Name | KELLEY M HOLLINGSWORTH |
| Credential | LPN |
| Practice Address |
1404 East Church Street Warren AR 71671 |
| Mailing Address |
790 Roberts Drive Monticello AR 71655 |
| Practice Telephone | 8702265856 |
| Practice Fax Number | 8702266208 |
| Mailing Telephone | 8703672461 |
| Mailing Fax Number | 8704606133 |
| Enumeration Date | 2013-03-08 |
| Last Update Date | 2013-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | L51305 | AR | Nursing Service Providers |
| Street Address |
1404 EAST CHURCH STREET |
| City | WARREN |
| State | AR |
| Zip Code | 71671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679080444 | Stephanie M Harper | Counselor | 1404 East Church Street, Warren, AR 71671 | 2018-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992116396 | Bradley Newton Biggers | Family Medicine | 304 E Central St., Warren, AR 71671 | 2014-05-19 |
| 1245516228 | Lauren Lynch | Pharmacist | 507 W Pine, Warren, AR 71671 | 2011-10-22 |
| 1114237062 | Gary Maskell | Chiropractor | 210 East Shields Street, Warren, AR 71671 | 2010-10-13 |
| 1841442811 | Wagnon Place Health Facilities | Skilled Nursing Facility | 1440 East Church Street, Warren, AR 71671 | 2008-10-21 |
| 1104953629 | Kathryn Kelly Cash | Speech-Language Pathologist | 206 Bragg St., Warren, AR 71671 | 2007-02-28 |
| 1477628352 | University of Arkansas for Medical Sciences | Pediatrics | 222 E Central St, Warren, AR 71671 | 2006-11-23 |
| 1649383514 | Karen Walker | Social Worker | 1404 E Church, Warren, AR 71671 | 2006-08-16 |
| 1699705178 | Rosemary Bell | Licensed Practical Nurse | 1404 E Church St, Warren, AR 71671 | 2006-07-03 |
| 1992348551 | Charles C Gibson | Case Manager/Care Coordinator | 1404 E Church St, Warren, AR 71671 | 2019-10-25 |
| 1942866652 | Amanda Pennington | Case Manager/Care Coordinator | 1404 E Church St, Warren, AR 71671 | 2019-05-17 |
| Find all providers in zip 71671 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437788536 | Kathy Diane Garland | Licensed Practical Nurse | 3805 Lyntz Townline Rd Sw, Warren, OH 44481-9213 | 2020-04-02 |
| 1861026395 | Bianca Symone-raveen Morris | Licensed Practical Nurse | 24629 Berry Ave, Warren, MI 48089-2170 | 2020-02-24 |
| 1932741451 | Concraigretta Jackson | Licensed Practical Nurse | 21124 Behrendt Ave, Warren, MI 48091-2774 | 2019-10-16 |
| 1417516170 | Jasmin Marie Dahl | Licensed Practical Nurse | 159 Linden Ave Se, Warren, OH 44483-5921 | 2019-06-06 |
| 1043877368 | Jamie Ryan | Licensed Practical Nurse | 687 Melwood Dr Ne, Warren, OH 44483-4437 | 2019-05-22 |
| 1164911244 | Keenan Tenant | Licensed Practical Nurse | 28241 Gilbert Dr, Warren, MI 48093-2625 | 2018-05-04 |
| 1710474820 | Courtney Mabins | Licensed Practical Nurse | 21135 La Salle Blvd, Warren, MI 48089-3414 | 2018-04-16 |
| 1003334889 | Stephanie T Turuck | Licensed Practical Nurse | 1900 Sandpiper Trl Se, Warren, OH 44484-5712 | 2017-08-31 |
| 1790213650 | Joyce A Mechling | Licensed Practical Nurse | 2737 Youngstown Rd., Warren, OH 44484 | 2017-05-23 |
| 1386178473 | Theresa Mccoy | Licensed Practical Nurse | 13029 Georgiana Ave, Warren, MI 48089-3279 | 2017-04-14 |
| Find all providers in WARREN | ||||
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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.