HOLLY F ANDERSON (NPI# 1619338555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619338555 |
| Entity Type | Individual |
| Full Name | HOLLY F ANDERSON |
| Credential | APNP |
| Practice Address |
705 S University Ave Ste 500 Beaver Dam WI 53916-3053 |
| Mailing Address |
705 S University Ave Suite 500 Beaver Dam WI 53916-3053 |
| Practice Telephone | 9208873102 |
| Practice Fax Number | 9208858790 |
| Mailing Telephone | 9208873102 |
| Mailing Fax Number | 9208858790 |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2020-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 6867-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1619338555 | 05 | |
| WI | RAILROAD MEDICARE | P01723157 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 705 S University Ave, Suite 500, Beaver Dam, WI 539163053 | 9208858586 | 9208858565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841725504 | Holly Anderson | Case Manager/Care Coordinator | 1 E 22nd St, Suite 310, Lombard, IL 60148-6159 | 2017-05-01 |
| 1912249483 | Holly Anderson | Speech-Language Pathologist | 112 South Elliot Street, Wenatchee, WA 98801 | 2013-03-22 |
| 1922230531 | Holly Danielle Anderson | Marriage & Family Therapist | 322 Houston St Ste 107, Manhattan, KS 66502-6497 | 2009-08-14 |
| 1922264951 | Holly Elisabeth Anderson | Acupuncturist | 605 Chenery St Ste C, San Francisco, CA 94131-3033 | 2008-07-29 |
| 1730252016 | Holly Marie Anderson | Nurse Practitioner | 128 E Milltown Rd Ste 209, Wooster, OH 44691-1276 | 2006-11-16 |
| 1174605182 | Holly B. Anderson | Chiropractor | 834 Ohio Pike, Suite 306, Cincinnati, OH 45245-2250 | 2006-10-19 |
| 1972110567 | Holly H Anderson | Behavior Technician | 2940 N Church St Ste 204, Layton, UT 84040-6616 | 2020-09-28 |
| 1134776586 | Holly Anderson | Dietitian, Registered | 1850 Bitterroot Dr, Twin Falls, ID 83301-3513 | 2019-08-21 |
| 1972060309 | Holly Elizabeth Anderson | Dietitian, Registered | 1100 N 35th St, Seattle, WA 98103-8906 | 2019-02-21 |
| 1942720644 | Holly Michelle Anderson | Student in an Organized Health Care Education/Training Program | 148 Warren St, Lowell, MA 01852-2208 | 2017-06-23 |
| Street Address |
705 S UNIVERSITY AVE STE 500 |
| City | BEAVER DAM |
| State | WI |
| Zip Code | 53916-3053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164473617 | Jamie S Deering | Family Medicine | 705 S University Ave Ste 500, Beaver Dam, WI 53916-3053 | 2006-05-12 |
| 1275899841 | Colleen F Cassidy | Family Medicine | 705 S University Ave Ste 500, Beaver Dam, WI 53916-3053 | 2012-04-07 |
| 1821199449 | Rolf H Hansen | Podiatrist | 705 S University Ave Ste 500, Beaver Dam, WI 53916-3053 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538718283 | Paulette Neibauer | Technician | N7262 Farwell Rd., Beaver Dam, WI 53916 | 2019-09-05 |
| 1902336597 | Tricounty Homecare Inc | In Home Supportive Care | 140 Corporate Dr Ste 2, Beaver Dam, WI 53916 | 2017-06-15 |
| 1528502754 | Jessica Marie Blatz | Counselor | 809 Park Aveune, Beaver Dam, WI 53916 | 2016-12-07 |
| 1376090886 | Beaver Dam Hearing Care, LLC | Hearing Aid Equipment | 705 University Ave, Suite 170, Beaver Dam, WI 53916 | 2016-09-01 |
| 1275902546 | Beaver Dam Community Hospitals Inc | Pharmacy | 705 S University Ave Ste 180, Beaver Dam, WI 53916 | 2015-09-17 |
| 1609242825 | Tami Joe Delisle | Counselor | 207 North Spring Street, Beaver Dam, WI 53916 | 2015-08-12 |
| 1366833394 | Beaver Dam Community Hospitals, Inc | Surgery | 705 S University Ave Ste 350, Beaver Dam, WI 53916 | 2015-02-12 |
| 1326471608 | Raquel Rodriguez-guzman | Pharmacist | 205 La Crosse Street, Beaver Dam, WI 53916 | 2013-08-09 |
| 1558608828 | Mary Y Kunz | Licensed Practical Nurse | 6550 N Highway 151 Lot 63, Beaverdam, WI 53916 | 2013-01-07 |
| 1881938454 | Brock Holden Slinger | Physical Therapist | 205 Monroe St. #13, Beaver Dam, WI 53916 | 2012-11-20 |
| Find all providers in zip 53916 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (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. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467976563 | Danielle J Scheuers | Nurse Practitioner | 705 S University Ave Ste 400, Beaver Dam, WI 53916-3053 | 2017-07-31 |
| 1205909330 | Susan Smith Rice | Nurse Practitioner | 1219 North Main St, Norsworthy Medical Assoc., Psc, Beaver Dam, KY 42320 | 2006-11-16 |
| 1710463088 | Randall M. Stone | Nurse Practitioner | 705 S University Ave Ste 200, Beaver Dam, WI 53916-3079 | 2018-07-19 |
| 1538549811 | Anthony James Guglielmo | Nurse Practitioner | 707 S University Ave, Beaver Dam, WI 53916-3027 | 2015-06-02 |
| 1770979650 | Bethany N Perry | Nurse Practitioner | 705 S University Ave, Suite 500, Beaver Dam, WI 53916-3053 | 2015-04-08 |
| 1417393596 | Dena L Piechowski | Nurse Practitioner | 705 S University Ave Ste 200, Beaver Dam, WI 53916-3079 | 2013-05-16 |
| 1780924514 | Velda R Neidlinger | Nurse Practitioner | 1213 N Main St, Beaver Dam, KY 42320-8955 | 2013-02-14 |
| 1578845202 | Peggy A Katsma | Nurse Practitioner | 705 S University Ave, Suite 200, Beaver Dam, WI 53916-3053 | 2011-09-20 |
| 1306146972 | Jessica Ann Nehls-rennhack | Nurse Practitioner | 705 S University Ave, Suite 500, Beaver Dam, WI 53916-3053 | 2010-10-28 |
| 1184933756 | Judy A Macdonald | Nurse Practitioner | 118 W Maple Ave, Beaver Dam, WI 53916-2104 | 2010-09-30 |
| Find all providers in BEAVER DAM | ||||
| City | BEAVER DAM |
| Zip Code | 53916 |
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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.