HOLLY KILLOUGH (NPI# 1578162822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578162822 |
| Entity Type | Individual |
| Full Name | HOLLY KILLOUGH |
| Credential | CFNP |
| Practice Address |
2332 Cottage San Rd Silver City NM 88061-8966 |
| Practice Telephone | 5755190394 |
| Mailing Telephone | 5755190394 |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-10-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
60711 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2332 COTTAGE SAN RD |
| City | SILVER CITY |
| State | NM |
| Zip Code | 88061-8966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235764127 | Tanya Jacqueline Ruiz | Case Manager/Care Coordinator | 1000 Hudson St, Silver City, NM 88061 | 2020-03-11 |
| 1326686635 | Jasmine Jaylene Abeyta | Behavior Technician | 3903 N Pinos Altos Road, Silver City, NM 88061 | 2019-12-17 |
| 1548826829 | Stephanie Trujillo | Psychologist | 2810 N. Swan St., Silver City, NM 88061 | 2019-05-13 |
| 1619453784 | Courtney Ochoa | Counselor | 3200 32nd Street Bypass, Silver City, NM 88061 | 2018-07-12 |
| 1609369206 | Tara Arias | Behavior Technician | 2875 Grand Mesa St, Silver City, NM 88061 | 2018-06-08 |
| 1205339454 | Manuel A Ortega | Counselor | 1311 N Grant St Ste A, Silver City, NM 88061 | 2018-03-14 |
| 1720587058 | Manuel A. Martinez IIi | Social Worker | 3082 32nd Street Byp, Silver City, NM 88061 | 2018-02-01 |
| 1467971986 | Hidalgo Medical Services | Clinic/Center | 3200 32nd St Bypass, Silver City, NM 88061 | 2017-09-15 |
| 1245787316 | David Thomas Rivera | Social Worker | 2039 Cottage Sand Rd., Silver City, NM 88061 | 2016-09-07 |
| 1821462540 | Anthony Alibah | Pharmacist | 100 Rosdale Road, Walgreens, Silver City, NM 88061 | 2015-11-18 |
| Find all providers in zip 88061 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578707055 | Bernice Begay | Nurse Practitioner | 1380 Highway 180 East, Silver City, NM 88061 | 2009-04-28 |
| 1740444934 | Vickie Lynne Shelquist | Nurse Practitioner | 238 S Ridge Rd, Silver City, NM 88061-6683 | 2008-07-16 |
| 1265420632 | Mary J Schad | Nurse Practitioner | 1318 N 32 St., Health Occupatioal Resources, Silver City, NM 88061 | 2005-10-11 |
| 1063042109 | Kyia Mountain | Nurse Practitioner | 1600 E 32nd St, Silver City, NM 88061-7287 | 2020-01-16 |
| 1699241323 | Randi Marae Murphy | Nurse Practitioner | 114 W 11th St, Silver City, NM 88061-5136 | 2018-10-20 |
| 1447746011 | Carol Jean Simpson | Nurse Practitioner | 1302 E 32nd St, Silver City, NM 88061-7215 | 2018-07-07 |
| 1750787339 | Tamara S Burris | Nurse Practitioner | 1600 E 32nd St, Silver City, NM 88061-7287 | 2014-11-10 |
| 1376718627 | Shauna Michelle Mccosh | Nurse Practitioner | 3201 N Ridge Loop Dr, Silver City, NM 88061-7243 | 2008-04-28 |
| 1134203334 | Karen Degenevieve | Nurse Practitioner | 1313 E 32nd St, Silver City, NM 88061-7251 | 2006-10-24 |
| 1366452963 | Jennifer Leigh Franz | Nurse Practitioner | 1007 N Pope St, Silver City, NM 88061-5161 | 2006-08-08 |
| Find all providers in SILVER CITY | ||||
| City | SILVER CITY |
| Zip Code | 88061 |
Please comment or provide details below to improve the information on HOLLY KILLOUGH.
| 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.