KELLIE HOLLAN (NPI# 1871103754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871103754 |
| Entity Type | Individual |
| Full Name | KELLIE HOLLAN |
| Credential | NP |
| Practice Address |
3201 Middle Dr Columbus IN 47203-4427 |
| Mailing Address |
Po Box 775383 Chicago IL 60677-5383 |
| Practice Telephone | 8123787474 |
| Mailing Telephone | 8123753000 |
| Mailing Fax Number | 8123753477 |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2020-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
28211776A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3201 MIDDLE DR |
| City | COLUMBUS |
| State | IN |
| Zip Code | 47203-4427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144294125 | Jason Konrad King | Specialist | 3201 Middle Dr, Columbus, IN 47203-4427 | 2006-02-15 |
| 1457708885 | Angela Nielsen | Nurse Practitioner | 3201 Middle Dr, Columbus, IN 47203-4427 | 2016-05-16 |
| 1063618445 | Kelly R Burse | Family Medicine | 3201 Middle Dr, Columbus, IN 47203-4427 | 2007-06-22 |
| 1922209709 | Alyssa Morgan Lovell | Family Medicine | 3201 Middle Dr, Columbus, IN 47203-4427 | 2007-05-30 |
| 1154461739 | Timothy James Von Fange | Family Medicine | 3201 Middle Dr, Columbus, IN 47203-4427 | 2007-02-06 |
| 1033296561 | Janet Ann Callon | Nurse Practitioner | 3201 Middle Dr, Columbus, IN 47203-4427 | 2006-11-01 |
| 1033218664 | David Rau | Family Medicine | 3201 Middle Dr, Columbus, IN 47203-4427 | 2006-09-21 |
| 1245252600 | William F Lustig | Family Medicine | 3201 Middle Dr, Columbus, IN 47203-4427 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649767955 | Sean Meador | Pharmacist | 3630 31st Street, Columbus, IN 47203 | 2018-04-23 |
| 1013319367 | Sandra Smith | Nurse Practitioner | 2329 North Marr Road, Wow Clinic, Columbus, IN 47203 | 2014-09-18 |
| 1174939680 | Hana Hoffman | Occupational Therapist | 2625 Foxpointe Dr., Suite A, Columbus, IN 47203 | 2014-07-03 |
| 1801219209 | Michelle Ann Ballard | Alzheimer Center (Dementia Center) | 2564 Foxpointe Drive, Keepsake Village, Columbus, IN 47203 | 2014-01-22 |
| 1639454606 | Jaime Denise Miller | Physical Therapist | 2625 Foxpointe Dr. 3a, Columbus, IN 47203 | 2011-10-20 |
| 1538443155 | Jessica Paige Laymon | Social Worker | 1680 Whitney Court, Columbus, IN 47203 | 2011-09-30 |
| 1720375124 | Hannah C Burke | Physical Therapist | 2625 Foxpointe Dr, Columbus, IN 47203 | 2011-07-06 |
| 1033419437 | Patricia J. Lisinski | Physician Assistant | 2510 Sandcrest Drive, Columbus, IN 47203 | 2010-11-01 |
| 1245495175 | David Brent Gadberry | Registered Nurse | 2122 Sumpter Trl, Columbus, IN 47203 | 2008-07-21 |
| 1710003231 | Ellen H Rudolph | Dentist | 3200 Sycamore Ct. Suite 1-c, Columbus, IN 47203 | 2007-03-22 |
| Find all providers in zip 47203 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433036 | Kenneth Michael Moreland | Nurse Practitioner | 6824 Linbrook Blvd, Columbus, OH 43235-5117 | 2020-09-24 |
| 1083224315 | Lalanna Renee Shawgo | Nurse Practitioner | 2108 Thistlewood Dr, Columbus, OH 43235-4274 | 2020-08-02 |
| 1255978367 | Tanya Haley Mcgee | Nurse Practitioner | 229 Old Yorkville Rd S, Columbus, MS 39702-8440 | 2019-12-08 |
| 1437636115 | Elliot Rodriguez | Nurse Practitioner | 376 W.10th Avenue, 760 Prior Hall, Columbus, OH 43210-1238 | 2018-07-25 |
| 1962926279 | Melanie Coyne | Nurse Practitioner | 101 13th St Ste 200, Columbus, GA 31901-2183 | 2017-07-28 |
| 1750811568 | Julie M. Bess | Nurse Practitioner | 452 W. 10th Avenue, Columbus, OH 43210-1240 | 2017-06-14 |
| 1447669338 | Rachel Elizabeth Rose | Nurse Practitioner | 300 W.10th Ave., Columbus, OH 43210 | 2014-08-05 |
| 1497167449 | Michele L. Lozano | Nurse Practitioner | 460 W 10th Ave # C1021, Columbus, OH 43210-1240 | 2014-05-27 |
| 1538570429 | Nicole A. Allen-payne | Nurse Practitioner | 460 W 10th Ave Fl 11, Columbus, OH 43210-1240 | 2014-05-13 |
| 1497733109 | Stephen Kirk Douglas | Nurse Practitioner | 2675 Foxpointe Drive, Suite B, Columbus, IN 47203 | 2006-01-03 |
| Find all providers in COLUMBUS | ||||
Please comment or provide details below to improve the information on KELLIE HOLLAN.
| 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.