MRS. AMY BETH HOLLER (NPI# 1629468095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629468095 |
| Entity Type | Individual |
| Full Name | MRS. AMY BETH HOLLER |
| Other Name | MISS AMY BETH DAHN |
| Credential | APRN, FNP-C |
| Practice Address |
9406 E 63rd St Raytown MO 64133-4904 |
| Mailing Address |
901 E. 104th St. Mailstop 400n Kansas City MO 64131 |
| Practice Telephone | 8163561000 |
| Mailing Telephone | 8165027104 |
| Mailing Fax Number | 8169329670 |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2018-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2015001952 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9406 E 63RD ST |
| City | RAYTOWN |
| State | MO |
| Zip Code | 64133-4904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609809490 | Nancy Ann Crigger | Nurse Practitioner | 9406 E 63rd St, Raytown, MO 64133-4904 | 2006-07-08 |
| 1275185407 | Eunice Minoo Mutisya | Nurse Practitioner | 9406 E 63rd St, Raytown, MO 64133-4904 | 2019-07-09 |
| 1366506446 | Our House of Kc, Inc | Day Training, Developmentally Disabled Services | 9406 E 63rd St, B, Raytown, MO 64133-4904 | 2006-12-21 |
| 1336214113 | Rebecca Lynn Turner | Family Medicine | 9406 E 63rd St, Raytown, MO 64133-4904 | 2006-11-21 |
| 1154432631 | Jinming Song | Family Medicine | 9406 E 63rd St, Raytown, MO 64133-4904 | 2006-08-31 |
| 1346252368 | Leesa Annette Mcbroom | Nurse Practitioner | 9406 E 63rd St, Raytown, MO 64133-4904 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376029652 | Lauren Chapman Bauer | Occupational Therapy Assistant | 9540 E 75th Street, Raytown, MO 64133 | 2018-07-19 |
| 1871946160 | Brent Jordan Miller | Nurse Practitioner | 9400 East 350 Highway, Raytown, MO 64133 | 2016-07-21 |
| 1518355957 | Sheeba Fazili | Counselor | 8801 East, 63 Rd Street, Raytown, Suite 101, Missouri, KS 64133 | 2015-01-08 |
| 1770998676 | Diana Garcia | Speech-Language Pathologist | 11812 E. 61st. Street, Kansas City, MO 64133 | 2014-06-30 |
| 1326489642 | Helping Hands Adult Day Center | Clinic/Center | 6610 Blue Ridge Blvd., Kansas City, MO 64133 | 2013-07-15 |
| 1346687936 | Judith Hope Evans | Pharmacist | 300 Blue Parkway, Lees Summit, MO 64133 | 2013-05-23 |
| 1912249855 | Shanna O'brien | Social Worker | 8801 E 63rd St Ste 101, Raytown, MO 64133 | 2013-03-18 |
| 1013266550 | Lauren Sword | Chiropractor | 9537 E 57th Terr, Raytown, MO 64133 | 2012-08-30 |
| 1528339207 | Olivia Luelf | Speech-Language Pathologist | 6608 Raytown Rd., Raytown, MO 64133 | 2012-01-26 |
| 1356639074 | Michelle Paulette Cruickshank | Massage Therapist | 6522 Sterling Ave, Raytown, MO 64133 | 2011-07-15 |
| Find all providers in zip 64133 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871946160 | Brent Jordan Miller | Nurse Practitioner | 9400 East 350 Highway, Raytown, MO 64133 | 2016-07-21 |
| 1720181746 | Susan Eitel | Nurse Practitioner | 9300 E. Gregory Blvd., Raytown, MO 64133 | 2006-09-06 |
| 1609809490 | Nancy Ann Crigger | Nurse Practitioner | 9406 E 63rd St, Raytown, MO 64133-4904 | 2006-07-08 |
| 1487645735 | Linda M Murray | Nurse Practitioner | 6325 Blue Ridge Blvd, #c, Raytown, MO 64133-4886 | 2005-11-03 |
| 1275185407 | Eunice Minoo Mutisya | Nurse Practitioner | 9406 E 63rd St, Raytown, MO 64133-4904 | 2019-07-09 |
| 1730608258 | Lou A Hill | Nurse Practitioner | 6303 Evanston Ave, Raytown, MO 64133-4929 | 2017-09-15 |
| 1437673639 | Jamie Gudenkauf | Nurse Practitioner | 9400 E 350, Raytown, MO 64133-6509 | 2017-07-29 |
| 1770015596 | Amanda Brooke Michals | Nurse Practitioner | 9400 E 350, Raytown, MO 64133-6509 | 2017-03-30 |
| 1124575493 | Aimee Annette Turney | Nurse Practitioner | 6303 Evanston Ave, Raytown, MO 64133-4929 | 2016-09-05 |
| 1972930329 | Tracy L Yager | Nurse Practitioner | 9400 E 350, Raytown, MO 64133 | 2013-10-01 |
| Find all providers in RAYTOWN | ||||
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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.