MRS. KIMBERLY KAY HOLT (NPI# 1730496423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730496423 |
Entity Type | Individual |
Full Name | MRS. KIMBERLY KAY HOLT |
Credential | APRN |
Practice Address |
715 Grandview Ave Pawhuska OK 74056-3201 |
Mailing Address |
820 Road 8 Cedar Vale KS 67024-9025 |
Practice Telephone | 9182879300 |
Practice Fax Number | 9182876138 |
Mailing Telephone | 6203307477 |
Mailing Fax Number | 6207582241 |
Enumeration Date | 2010-09-02 |
Last Update Date | 2020-10-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
141529 | KS | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
820 Road 8, Cedar Vale, KS 670249025 | 6203307477 | 6207582241 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164540597 | Kimberly Shaw Lumpkin Holt | Specialist/Technologist | 113 Duke of Gloucester St, Annapolis, MD 21401-2528 | 2007-03-26 |
1255401931 | Kimberly Holt | Psychologist | 430 Next Day Hill Dr, Englewood, NJ 07631-1924 | 2006-11-09 |
1457909442 | Kimberly Holt | Counselor | 589 Hospital Dr Ste E, Warren, PA 16365-4875 | 2019-09-03 |
1962924084 | Kimberly Holt | Nurse Practitioner | 615 S Bower St, Greenville, MI 48838-2614 | 2017-07-11 |
1225371461 | Kimberly Gail Holt | Dentist | 5072 W Plano Pkwy, # 180, Plano, TX 75093-4476 | 2013-04-05 |
1740460385 | Kimberly Suzanne Holt | Occupational Therapist | 8700 9th Ave, Suite 103, Port Arthur, TX 77642-8030 | 2007-11-12 |
1306059639 | Kimberly Holt | Registered Nurse | 402 S 4th Ave, Yakima, WA 98902-3546 | 2007-05-07 |
1720136328 | Kimberly Anne Holt | Physical Therapist | 4560 Se International Way, #100 Consonus Rehab Services, Milwaukie, OR 97222 | 2007-01-08 |
1053427757 | Kimberly V. Holt | Occupational Therapist | 102 Eastbrook Dr, Suite C, Greenville, NC 27858-4211 | 2006-08-22 |
Street Address |
715 GRANDVIEW AVE |
City | PAWHUSKA |
State | OK |
Zip Code | 74056-3201 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952303190 | Pawhuska Ihs Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 715 Grandview Ave, Pawhuska, OK 74056-3201 | 2005-06-01 |
1740888635 | Cori Lynn Butler | Pharmacist | 715 Grandview Ave, Pawhuska, OK 74056-3201 | 2020-10-13 |
1235737214 | Malorie Denise Pease | Pharmacist | 715 Grandview Ave, Pawhuska, OK 74056-3201 | 2020-10-13 |
1306473137 | Elizabeth Rae Hovey | Pharmacist | 715 Grandview Ave, Pawhuska, OK 74056-3201 | 2020-03-23 |
1174158638 | Orele Shananae Ferguson | Registered Nurse | 715 Grandview Ave, Pawhuska, OK 74056-3201 | 2020-03-05 |
1497211619 | Amy Odessa Brown | Dental Hygienist | 715 Grandview Ave, Pawhuska, OK 74056-3201 | 2019-02-12 |
1821561465 | Julie Free | Dietitian, Registered | 715 Grandview Ave, Pawhuska, OK 74056-3201 | 2019-01-07 |
1013433655 | Harmony Michelle Revard Fuller | Social Worker | 715 Grandview Ave, Pawhuska, OK 74056-3201 | 2017-08-15 |
1851824965 | Cherri Lawlis | Nurse Practitioner | 715 Grandview Ave, Pawhuska, OK 74056-3201 | 2017-04-05 |
1518337542 | Janette L Dunn | Social Worker | 715 Grandview Ave, Pawhuska, OK 74056-3201 | 2015-10-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033765227 | Heather N Barkley | Case Manager/Care Coordinator | 1616 Mckenzie Road, Pawhuska, OK 74056 | 2019-08-13 |
1871092494 | Pawhuska Hospital Inc | Clinic/Center | 1109 E 15th St, Pawhuska, OK 74056 | 2018-02-09 |
1043618572 | Dagenais & Associates Medical Clinic, LLC | Physician Assistant | 137 East Main, Pawhuska, OK 74056 | 2014-12-16 |
1659615904 | Osage Nation | Community/Behavioral Health | 126 6th Street, Pawhuska, OK 74056 | 2012-11-26 |
1366707481 | Louis G Gray I | Counselor | 1011 Grandview, Pawhuska, OK 74056 | 2012-07-05 |
1205096427 | Eric A Amberson | Emergency Medicine | 230 E. 5th Street, Pawhuska, OK 74056 | 2008-06-11 |
1407030356 | Angels Health Care Clinic Inc | Clinic/Center | 47922 St Hwy 99, Pawhuska, OK 74056 | 2007-12-27 |
1871795740 | Help Works, Inc | Day Training, Developmentally Disabled Services | 219 Lincoln, Pawhuska, OK 74056 | 2007-06-04 |
1639205628 | William Franklin Pendley | Counselor | Edwin Fair Cmhc 515 Old Hyw 99, Pawhuska, OK 74056 | 2007-02-26 |
1265591416 | Gemini Medical Group | Family Medicine | 701 Leahy, Pawhuska, OK 74056 | 2006-12-06 |
Find all providers in zip 74056 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306475900 | Andrea Bunch | Nurse Practitioner | 1115 E 15th St, Pawhuska, OK 74056-1901 | 2020-04-06 |
1720396633 | Alexander R Genty | Nurse Practitioner | 405 Midland Ave, Pawhuska, OK 74056-5875 | 2010-09-14 |
1447891197 | Wenda Johnson | Nurse Practitioner | 1101 E 15th St, Pawhuska, OK 74056-1901 | 2019-10-03 |
1376028811 | Heather Fawn Arrington | Nurse Practitioner | 1109 E 15th St, Pawhuska, OK 74056-1901 | 2018-10-01 |
1558784470 | Rondall Dunkle Jr. | Nurse Practitioner | 1101 E 15th St, Pawhuska, OK 74056 | 2014-01-29 |
1710311154 | Acadia Family Medical Clinic L.L.C. | Nurse Practitioner | 230 E 5th St, Pawhuska, OK 74056-5204 | 2013-08-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992306708 | Paula Sue Brown | Nurse Practitioner | 1020 N Lawson Blvd, Clayton, OK 74536-0219 | 2020-11-06 |
1235730581 | Cynthia Nanett Smith | Nurse Practitioner | 3009 24th Ave Se, Norman, OK 73071-1731 | 2020-11-03 |
1942801246 | Preston Craig | Nurse Practitioner | 1114 Mockingbird Ln, Norman, OK 73071-4838 | 2020-11-03 |
1528668530 | William Zachary Mccormick | Nurse Practitioner | 9900 Ashley Pl, The Village, OK 73120-3608 | 2020-10-28 |
1457951519 | Crystal Marie Mapes | Nurse Practitioner | 1920 E 2nd St Apt 4015, Edmond, OK 73034-6385 | 2020-10-28 |
1164021655 | Alana Christine Mckinney | Nurse Practitioner | 19400 Sw 44th St, El Reno, OK 73036-8191 | 2020-10-26 |
1063011831 | Venvisor Health Oklahoma LLC | Nurse Practitioner | 1831 E 71st St # 4213, Tulsa, OK 74136-3922 | 2020-10-22 |
1164021150 | Timber Laine Jackson | Nurse Practitioner | 1391 County Road 1215, Tuttle, OK 73089-3047 | 2020-10-20 |
1225637465 | Dakota Bell Morton | Nurse Practitioner | 208 W 35th St, Sand Springs, OK 74063-2832 | 2020-10-19 |
1942808746 | Shari E Stapleton | Nurse Practitioner | 324 Ceder Ln, Tuttle, OK 73089-8675 | 2020-10-14 |
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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.