SAMANTHA HOLMAN


Address: 4 Hickory Ridge Rd, Hillsboro, MO 63050-5100
Phone: 6364816040

SAMANTHA HOLMAN (NPI# 1811508856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811508856
Entity Type Individual
Full Name SAMANTHA HOLMAN
Practice Address 4 Hickory Ridge Rd
Hillsboro
MO 63050-5100
Mailing Address 227 Main St
Festus
MO 63028-1952
Practice Telephone 6364816040
Enumeration Date 2020-08-13
Last Update Date 2020-08-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164W00000X Licensed Practical Nurse 2014034425 MO Nursing Service Providers

Other Providers SAMANTHA HOLMAN

NPI Name Taxonomy Address Enumeration
1457918997 Samantha Lynn Holman Optometrist 525 Sheridan Rd, Noblesville, IN 46060-1317 2019-05-21

Office Location

Street Address 4 HICKORY RIDGE RD
City HILLSBORO
State MO
Zip Code 63050-5100

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437158342 Heather Lynn Morgan Family Medicine 4 Hickory Ridge Rd, Hillsboro, MO 63050-5100 2005-07-21
1275159261 Stephen Beck Dentist 4 Hickory Ridge Rd, Hillsboro, MO 63050-5100 2020-06-25
1033735857 Amber Wallenbrock Registered Nurse 4 Hickory Ridge Rd, Hillsboro, MO 63050-5100 2020-06-17
1689236176 Aldrin Aquino Dentist 4 Hickory Ridge Rd, Hillsboro, MO 63050-5100 2019-07-03
1689020539 Hannah Bender Dental Hygienist 4 Hickory Ridge Rd, Suite 600, Hillsboro, MO 63050-5100 2016-05-10
1841653920 Amanda Govreau Dental Hygienist 4 Hickory Ridge Rd, Suite 600, Hillsboro, MO 63050-5100 2016-04-05
1891153656 Lab One LLC Clinical Medical Laboratory 4 Hickory Ridge Rd, Ste 600, Hillsboro, MO 63050-5117 2016-02-08
1174993539 Sandra Drezek Dental Hygienist 4 Hickory Ridge Rd, Suite 600, Hillsboro, MO 63050-5100 2015-09-29
1902280522 Stuart J Scott Dentist 4 Hickory Ridge Rd, Suite 600, Hillsboro, MO 63050-5100 2015-07-14
1174958078 Katherine Rosemary Garrity Dentist 4 Hickory Ridge Rd, Suite 600, Hillsboro, MO 63050-5100 2013-09-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942747118 Jefferson Franklin Community Action Corp Health Educator 2 Merchants Dr, Hillsboro, MO 63050 2017-01-26
1073998266 Lindsey Johnston Counselor 351 Main Street, Hillsboro, MO 63050 2015-07-29
1952544017 Kelli M. Fuller Registered Nurse 802 Mel Carnahan Dr Ste 215, Hillsboro, MO 63050 2009-04-18
1548444797 Leonard Hughes Co Inc Eyewear Supplier (Equipment, not the service) 11339 Hwy 21, Hillsboro, MO 63050 2007-12-24
1275728305 Shah Enterprises LLC Health Maintenance Organization 10640 Highway 21, Hillsboro, MO 63050 2007-09-12
1649487190 James Reehten Counselor 473 Maple, Hillsboro, MO 63050 2007-05-16
1790856268 Barbara Joyce Becherer Counselor 10814 Highway 21, C, Hillsboro, MO 63050 2006-11-13
1740255413 Jason Fish Dentist #4 Hickory Ridge Rd, Suite 100, Hillsboro, MO 63050 2006-02-17
1619963253 David John Stansfield Family Medicine 10279 Business 21, Hillsboro, MO 63050 2005-09-20
1417426933 Lauren Pritchard Counselor 351 Main Street, Hillsboro, MO 63050 2018-11-14
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Taxonomy Information

Taxonomy Code 164W00000X
Grouping Nursing Service Providers
Classification Licensed Practical Nurse

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528521549 Karen Lee Ferrette Licensed Practical Nurse 10690 Ne Cornell Rd Ste 215, Hillsboro, OR 97124-9224 2019-04-08
1134608706 Faith Bauder Licensed Practical Nurse 417 Hcr 2431, Hillsboro, TX 76645-5195 2018-08-14
1972059624 Connie Sue Fraley Licensed Practical Nurse 8958 Pigeon Roost Rd., Hillsboro, OH 45133 2016-08-31
1689028268 Amanda Stroop Licensed Practical Nurse 116 W Collins Ave, Hillsboro, OH 45133-1014 2016-04-20
1578934410 Twolla Kay Minton Licensed Practical Nurse 462 S Elm St, Hillsboro, OH 45133-1360 2015-10-19
1174926810 Candra Allen Licensed Practical Nurse 7260 Kier Rd, Hillsboro, OH 45133-9155 2014-10-08
1124433693 Edna Anghesom Tesfay Licensed Practical Nurse 140 Ne Greenridge Ter, Hillsboro, OR 97124-5160 2014-06-24
1750714473 Elizabeth Theobold Licensed Practical Nurse 4141 Sweeney Ln, Hillsboro, OH 45133-7429 2013-08-16
1093158982 Amber Frazier Licensed Practical Nurse 6954 Perch St, Hillsboro, OH 45133-9758 2013-04-10
1477829752 Cynthia Boyd Licensed Practical Nurse 125 Vaughn Ave, Hillsboro, OH 45133-1484 2012-03-30
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Competitor

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City HILLSBORO
Zip Code 63050

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Dataset Information

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.

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