MRS. HOLLI WATKIN (NPI# 1851645931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851645931 |
| Entity Type | Individual |
| Full Name | MRS. HOLLI WATKIN |
| Credential | CNP |
| Practice Address |
1601 Monmouth St Ste 100 Independence OR 97351-1019 |
| Mailing Address |
10210 Bellingham Dr Summerset SD 57718-9271 |
| Practice Telephone | 5038380045 |
| Mailing Telephone | 6058902517 |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2019-12-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
201909639NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500772076 | 05 | |
| OR | DEA | MM2675506 | 01 |
| Street Address |
1601 MONMOUTH ST STE 100 |
| City | INDEPENDENCE |
| State | OR |
| Zip Code | 97351-1019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598868515 | Independence-monmouth Family Medicine PC | Family Medicine | 1430 Monmouth St, Independence, OR 97351 | 2006-09-06 |
| 1821070111 | Kenneth R Winokur | Dentist | 329 South Main St, Independence, OR 97351 | 2005-11-14 |
| 1710044144 | Kenneth R Winokur Dmd PC | Dentist | 329 S Main St, Independence, OR 97351 | 2007-01-03 |
| 1407959422 | Keith Allen White | Family Medicine | 1430 Monmouth St, Independence, OR 97351 | 2006-09-06 |
| 1609901024 | Evan L Evans | Audiologist | 1343 A Monmouth St, Independence, OR 97351-0248 | 2007-02-23 |
| 1497703201 | Evergreen Oregon Healthcare Independence, L.L.C. | Skilled Nursing Facility | 1525 Monmouth St, Independence, OR 97351-1007 | 2006-05-04 |
| 1518127844 | David Patrick Mcdarby | Physical Therapist | 1525 Monmouth St, Independence, OR 97351-1007 | 2008-06-10 |
| 1881854115 | Bobbi Jo Shrum | Physical Therapy Assistant | 1525 Monmouth St, Independence, OR 97351-1007 | 2008-06-10 |
| 1639426208 | Central School District 13j | Local Education Agency (LEA) | 1610 Monmouth St, Independence, OR 97351-1008 | 2012-08-13 |
| 1699394585 | Jennifer Elizabeth O'sullivan | Specialist/Technologist | 1369 Monmouth St, Independence, OR 97351-1126 | 2020-04-10 |
| Find all providers in zip 97351 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255944815 | Lauren Narduzzi | Nurse Practitioner | 8755 Hillside Rd, Independence, OH 44131-5424 | 2020-08-24 |
| 1699303735 | Aaron Mccoy | Nurse Practitioner | 11509 Staffordsburg Rd, Independence, KY 41051-7759 | 2020-04-01 |
| 1851922629 | Integrated Health and Wellness LLC | Nurse Practitioner | 281 Martin Luther King Jr St, Independence, LA 70443-2386 | 2020-01-30 |
| 1467010298 | Francina Contessa Whitley | Nurse Practitioner | 17020 E Us Highway 40 Ste 5&6, Independence, MO 64055-5361 | 2019-06-05 |
| 1033777545 | Joshua Clayton Smith | Nurse Practitioner | 12613 E 41st Ter S, Independence, MO 64055-4420 | 2019-05-30 |
| 1326539578 | Brenton Paul Wagner | Nurse Practitioner | 4801 Acorn Dr Ste B, Independence, OH 44131-2566 | 2018-05-23 |
| 1649791468 | Danielle Davone Boguslaw | Nurse Practitioner | 4731 S Cochise Dr Ste 100, Independence, MO 64055-6975 | 2017-07-01 |
| 1063951101 | April Altice | Nurse Practitioner | 815 N Noland Rd Ste 6, Independence, MO 64050-2975 | 2017-02-22 |
| 1184173924 | Tina Michelle Ross | Nurse Practitioner | 1500 W White Oak St, Independence, MO 64050-2559 | 2016-09-21 |
| 1477907830 | Christina M Reser | Nurse Practitioner | 16912 E Hart Ave, Independence, MO 64055-3040 | 2016-04-21 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 97351 |
Please comment or provide details below to improve the information on MRS. HOLLI WATKIN.
| 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.