REBECCA SUE HOLLANDER (NPI# 1851513600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851513600 |
Entity Type | Individual |
Full Name | REBECCA SUE HOLLANDER |
Credential | RD |
Practice Address |
3401 W Gore Blvd Lawton OK 73505-6332 |
Practice Telephone | 5802506407 |
Practice Fax Number | 5803555893 |
Mailing Telephone | 5802506407 |
Mailing Fax Number | 5803555893 |
Enumeration Date | 2007-05-02 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
LD 6 | OK | Dietary & Nutritional Service Providers |
Street Address |
3401 W GORE BLVD |
City | LAWTON |
State | OK |
Zip Code | 73505-6332 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295735777 | Kathleen Marie Feeley | Nurse Anesthetist, Certified Registered | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2005-07-27 |
1437768280 | Jordan Nixon | Speech-Language Pathologist | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2020-07-28 |
1275151953 | Tiffany Fletcher Legako | Speech-Language Pathologist | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2020-07-09 |
1669094371 | Jacob Aaron Fuller | Student in an Organized Health Care Education/Training Program | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2020-05-15 |
1679195614 | Kennan Dale Richards | Student in an Organized Health Care Education/Training Program | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2020-05-13 |
1730701251 | Shelby Madolyn Willis | Student in an Organized Health Care Education/Training Program | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2020-05-07 |
1902427404 | Christopher Raul Fernandez | Student in an Organized Health Care Education/Training Program | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2020-05-06 |
1790305456 | Ethan Jernigan | Student in an Organized Health Care Education/Training Program | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2020-04-23 |
1144840802 | Lyndi Fisher | Student in an Organized Health Care Education/Training Program | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2020-04-23 |
1629607320 | Jordan Renee Price | Student in an Organized Health Care Education/Training Program | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2020-04-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134744006 | Angela Janell Smith | Case Manager/Care Coordinator | 4904 Nw Smith Ave, Lawton, OK 73505 | 2020-06-16 |
1295383990 | Akeemia Lorene Holder | Case Manager/Care Coordinator | Youth Care of Oklahoma, 713 Sw C Avenue, OK 73505 | 2019-08-27 |
1225685480 | Healthstat Onsite Clinic Goodyear Vision Center | Preventive Medicine | 1 Goodyear Blvd, Lawton, OK 73505 | 2019-08-22 |
1891285300 | Michael Anthony Gray | Case Manager/Care Coordinator | 2218 Nw 36th St, Lawton, OK 73505 | 2018-05-10 |
1841797362 | Adeshola T Fatuyi | Case Manager/Care Coordinator | 7301 Sw Lee 635, Lawton, OK 73505 | 2018-04-11 |
1912425539 | Heather Shea Morefield | Case Manager/Care Coordinator | 2712 Sw H Ave, Lawton, OK 73505 | 2017-09-04 |
1972031367 | Burke Hendricks | Emergency Medicine | 3401 West Gore Boulevard, Lawton, OH 73505 | 2017-05-30 |
1932642279 | Helery Vance | Peer Specialist | 1420 Nw Hunter Rd Apt C7, Lawton, OK 73505 | 2016-11-18 |
1629523436 | Sebrina Sheppard | Case Manager/Care Coordinator | 3907 Sw Parkridge Blvd., Lawton, OK 73505 | 2016-08-22 |
1376913590 | David Lee Atauvich | Registered Nurse | 1515 Lawrie Rd, Lawton, OK 73505 | 2015-09-30 |
Find all providers in zip 73505 |
Taxonomy Code | 133VN1006X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietitian, Registered |
Specialization | Nutrition, Metabolic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285886713 | Comanche County Healthcare Corp | Dietitian, Registered | 3201 W Gore Blvd, Suite 103, Lawton, OK 73505-6378 | 2008-10-15 |
1245452002 | Jan Marie Miller | Dietitian, Registered | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2007-05-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558867788 | Ashley Lynn Ethriedge | Dietitian, Registered | 1200 N Phillips Ave Ste 12100, Oklahoma City, OK 73104-4600 | 2018-04-05 |
1104191931 | Suzanne Elizabeth Gauldin | Dietitian, Registered | 12175 N 179th East Ave, Collinsville, OK 74021-6259 | 2012-03-12 |
1174805147 | Jessica Rae Shaw | Dietitian, Registered | 1000 N Lincoln Ave, Sutie 2900, Oklahoma City, OK 73104 | 2011-09-15 |
1659593168 | Banister & Associates LLC | Dietitian, Registered | 4200 West Memorial Rd, Suite 508, Oklahoma City, OK 73120 | 2007-05-03 |
1982747861 | Betty Jean Chuculate | Dietitian, Registered | 1265 South Utica Ste. 100n, Tulsa, OK 74104-4090 | 2007-02-14 |
1134220171 | William Keith Glodowski | Dietitian, Registered | 921 Ne 13th St Dept Veterans, N&fs 120, Oklahoma City, OK 73104-5007 | 2006-09-25 |
1811510530 | Bailey Chambers | Dietitian, Registered | 3330 Nw 56th St Ste 500, Oklahoma City, OK 73112-4470 | 2020-05-28 |
1518515956 | Well Rooted Health and Nutrition | Dietitian, Registered | 3330 Nw 56th St Ste 608, Oklahoma City, OK 73112-4470 | 2019-08-28 |
1962783290 | Lacey Bixler | Dietitian, Registered | 1000 N Lincoln Blvd, Suite 2900, Oklahoma City, OK 73104-3252 | 2011-08-31 |
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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.