DR. HOLLY M SPOTTS (NPI# 1871757278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871757278 |
| Entity Type | Individual |
| Full Name | DR. HOLLY M SPOTTS |
| Credential | PSY.D. |
| Practice Address |
5501 Marvin Shields Blvd Gulfport MS 39501-9007 |
| Practice Telephone | 2288225710 |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2013-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 22057 | CA | Behavioral Health & Social Service Providers |
| Street Address |
5501 MARVIN SHIELDS BLVD |
| City | GULFPORT |
| State | MS |
| Zip Code | 39501-9007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538143334 | James Elbert Davis | Audiologist | 5501 Marvin Shields Blvd, Nbhc Gulfport, Gulfport, MS 39501-9007 | 2005-12-05 |
| 1497207591 | Jared Castro | Physician Assistant | 5501 Marvin Shields Blvd, Gulfport, MS 39501-9007 | 2016-10-25 |
| 1306207519 | Stephanie Eonta | General Practice | 5501 Marvin Shields Blvd, Gulfport, MS 39501-9007 | 2016-03-15 |
| 1366840423 | Julie Bishop | Social Worker | 5501 Marvin Shields Blvd, Gulfport, MS 39501-9007 | 2014-12-05 |
| 1669722799 | Jamie Lynne Dubeck | Physician Assistant | 5501 Marvin Shields Blvd, Gulfport, MS 39501-9007 | 2012-09-17 |
| 1306103551 | David Alexander Glenn Jr. | Military Health Care Provider | 5501 Marvin Shields Blvd, Gulfport, MS 39501-9007 | 2012-04-12 |
| 1477819332 | Nathan Daniel Dejager | Military Health Care Provider | 5501 Marvin Shields Blvd, Gulfport, MS 39501-9007 | 2012-04-05 |
| 1174839880 | Jesse Lee Palacios II | Military Health Care Provider | 5501 Marvin Shields Blvd, Gulfport, MS 39501-9007 | 2010-08-19 |
| 1629382957 | Fred Eugene Kasper | Military Health Care Provider | 5501 Marvin Shields Blvd, Gulfport, MS 39501-9007 | 2010-07-28 |
| 1851625446 | Heather Ann Watts | Military Health Care Provider | 5501 Marvin Shields Blvd, Gulfport, MS 39501-9007 | 2009-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301632 | Daniel Edward Bloom | Physician Assistant | Naval Branch Health Clinic Gulfport, 5502 Marvin Shields Blvd, Gulfport, MS 39501 | 2019-11-25 |
| 1730721374 | Affinity Healthcare LLC | Non-emergency Medical Transport (VAN) | 1822 15th St, Suite 8, Gulfport, MS 39501 | 2019-10-15 |
| 1093361156 | Gulf Coast Companion Care, LLC | Home Health | 1314 Pass Road, Ste B, Gulfport, MS 39501 | 2019-08-14 |
| 1609420991 | Greg Meekin Ent | Otolaryngology | 1201 31st Avenue, Gulfport, MS 39501 | 2019-07-25 |
| 1225681216 | Murphy Chiropractic Gulfport, LLC | Clinic/Center | 2700 25th Ave., Gulfport, MS 39501 | 2019-07-19 |
| 1477022838 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 1110 Broad Street, Suite 300, Gulfport, MS 39501 | 2018-11-15 |
| 1477003028 | Mindful Matters | Nurse Practitioner | 1613 23rd Avenue, Gulfport, MS 39501 | 2016-10-06 |
| 1902294093 | Tangular Barnes | Nurse Practitioner | Gulf Coast Mental Health Center, 1600 Broad Ave, Gulfport, MS 39501 | 2014-12-25 |
| 1487065355 | Huong Nguyen | Pharmacist | 2433 25th Avenue, Gulfport, MS 39501 | 2014-05-14 |
| 1770907412 | Matthew Coleman | Military Health Care Provider | Nbhc Naval Construction Battalion Center Gulfport, 5501 Marvin Shields Blvd, Gulfport, MS 39501 | 2014-02-18 |
| Find all providers in zip 39501 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508873928 | Simone J Simone | Psychologist | 10585 Three Rivers Rd Ste C, Gulfport, MS 39503-3572 | 2006-08-01 |
| 1801876545 | Jay Michael Stone | Psychologist | 8990 Lorraine Rd, Gulfport, MS 39503-4176 | 2006-01-19 |
| 1295722965 | Michael E. Zakaras | Psychologist | 15465 Oak Ln, Gulfport, MS 39503-2663 | 2005-09-28 |
| 1568814812 | River Psychology Pllc | Psychologist | 8990 Lorraine Rd, Gulfport, MS 39503-4176 | 2016-07-11 |
| 1083098495 | Bloom Psychological Services, LLC | Psychologist | 1520 29th Ave, Suite 31, Gulfport, MS 39501-2843 | 2015-07-15 |
| 1588838510 | Center for Human Potential, P.a. | Psychologist | 5301 Gulfport Blvd S, Gulfport, FL 33707-4947 | 2008-04-22 |
| 1568512077 | Pamela Sue Cutrer | Psychologist | 1097 Acadian Dr, Gulfport, MS 39507-3545 | 2007-01-10 |
| 1780783761 | Dorothy Dickson-rishel | Psychologist | 1340 Broad Ave, Suite 450, Gulfport, MS 39501-2404 | 2006-09-22 |
| 1548285828 | Gerald Steve Barrilleaux | Psychologist | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2006-07-13 |
| 1508893249 | Joseph Gothilf Baum | Psychologist | 5301 Gulfport Blvd S, Gulfport, FL 33707-4947 | 2006-06-27 |
| Find all providers in GULFPORT | ||||
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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.