KATHLEEN HOLLOWAY (NPI# 1902907470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902907470 |
| Entity Type | Individual |
| Full Name | KATHLEEN HOLLOWAY |
| Credential | PA-C |
| Practice Address |
220 Nat Washington Way Ephrata WA 98823 |
| Mailing Address |
220 Nat Washington Way Ephrata WA 98823-1982 |
| Practice Telephone | 5097543330 |
| Practice Fax Number | 5097542351 |
| Mailing Telephone | 5097543330 |
| Mailing Fax Number | 5097542351 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2018-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA10004276 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | RR MEDICARE | P01110206 | 01 |
| WA | L&I | 0301659 | 01 |
| WA | 1902907470 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1550 S Pioneer Way Suite 115, Samaritan Clinic, Moses Lake, WA 98837 | 5097939790 | 5097643255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235428434 | Kathleen Holloway | Counselor | 626 Revolution St, Havre De Grace, MD 21078-3320 | 2011-03-29 |
| 1851481832 | Kathleen Holloway | Pediatrics | 2201 W Clinch Ave, Knoxville, TN 37916-2203 | 2006-10-13 |
| Street Address |
220 NAT WASHINGTON WAY |
| City | EPHRATA |
| State | WA |
| Zip Code | 98823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588647507 | Nadine Strand Mahler | Nurse Practitioner | 220 Nat Washington Way, Ephrata, WA 98823-1982 | 2005-11-23 |
| 1265712152 | Suzanne Louise Dunn | Physician Assistant | 220 Nat Washington Way, Ephrata, WA 98823-1982 | 2011-08-23 |
| 1265674295 | Lisa Kristine Corsie | Nurse Practitioner | 220 Nat Washington Way, Ephrata, WA 98823-1982 | 2009-04-06 |
| 1699839472 | Grant Co Public Hospital District 3 | Family Medicine | 220 Nat Washington Way, Ephrata, WA 98823-1982 | 2006-12-19 |
| 1457414799 | Grant Co Public Hospital District 3 | Clinic/Center | 220 Nat Washington Way, Ephrata, WA 98823-1982 | 2006-12-18 |
| 1952401838 | Alexander L Brzezny | Family Medicine | 220 Nat Washington Way, Ephrata, WA 98823-1982 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487070033 | Rebecca Marie Long | Registered Nurse | 23915 Rd H.5 Nw, Ephrata, WA 98823 | 2014-03-06 |
| 1386067726 | Kristy Ogle | Pharmacist | 1399 S.e. Blvd, Ephrata, WA 98823 | 2014-01-21 |
| 1306995477 | Katherine J Vertrees | Counselor | 708 Penn St, Moses Lakes, WA 98823 | 2007-01-09 |
| 1689769275 | Ephrata School District | Local Education Agency (LEA) | 501 'c' St Nw, Ephrata, WA 98823 | 2006-10-03 |
| 1386661411 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 1399 Se Blvd, Ephrata, WA 98823 | 2006-07-16 |
| 1629385232 | Ephrata Eye Care, Pllc | Optometrist | 1070 Basin St Sw Ste F, Ephrata, WA 98823-1005 | 2010-09-02 |
| 1811983299 | George T Sisson | Optometrist | 1070 Basin St Sw, Ste F, Ephrata, WA 98823-1005 | 2005-09-21 |
| 1578648010 | Robert Daniel Ross | Chiropractor | 523 1st Ave Nw, Ephrata, WA 98823-1501 | 2006-10-25 |
| 1245587567 | Phyllis Fuglie | Massage Therapist | 523 1st Ave Nw, Ephrata, WA 98823-1501 | 2012-08-06 |
| 1497304836 | Annette B Berg | Home Health Aide | 216 Maringo Rd, Ephrata, WA 98823-1528 | 2019-09-09 |
| Find all providers in zip 98823 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922080183 | Edmond Wayne Hendrickson | Physician Assistant | 200 Nat Washington Way, Ephrata, WA 98823-1982 | 2005-11-15 |
| 1578916532 | Samantha Greco | Physician Assistant | 3440b Rothsville Rd, Ephrata, PA 17522-8758 | 2016-07-14 |
| 1053770511 | Jocelyn Beckinger | Physician Assistant | 446 N Reading Rd, Ephrata, PA 17522-9802 | 2016-02-12 |
| 1265712152 | Suzanne Louise Dunn | Physician Assistant | 220 Nat Washington Way, Ephrata, WA 98823-1982 | 2011-08-23 |
| 1114206471 | Emi Elizabeth Papson | Physician Assistant | 169 Martin Ave, Ephrata, PA 17522-1724 | 2011-08-04 |
| 1629366125 | Christopher James Gallagher | Physician Assistant | 169 Martin Ave, Medical Staff Office, Ephrata, PA 17522-1724 | 2011-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033735618 | Gavin Guard | Physician Assistant | 818 Mullis St Ste 6, Friday Harbor, WA 98250-7986 | 2020-06-19 |
| 1578110862 | Kaitlin E. Brotman | Physician Assistant | 315 Holton Ave Ste 100, Yakima, WA 98902-3245 | 2019-08-21 |
| 1700345196 | Kara Lynn Kime | Physician Assistant | 1200 Cooper Point Rd Sw Ste 100, Olympia, WA 98502-1172 | 2019-03-15 |
| 1679056824 | Katharine Loco-marshall | Physician Assistant | 4816 She-nah-num Drive, Olympia, WA 98513 | 2018-09-13 |
| 1841791274 | Sjs, Pllc | Physician Assistant | 900 Ocean Beach Hwy Ste B, Longview, WA 98632-4013 | 2018-02-21 |
| 1063928448 | Heidi April | Physician Assistant | 1410 N Pittsburgh St, Building A, Kennewick, WA 99336-8211 | 2017-12-20 |
| 1194251983 | Christopher Joseph Stanley | Physician Assistant | 1010 Ne Lilac St Apt 301, Issaquah, WA 98029-7878 | 2017-05-11 |
| 1366993362 | Vanessa Julie Iglesias Mehta | Physician Assistant | 5128 Yelm Hwy Se, Suite E, Lacey, WA 98503 | 2016-10-14 |
| 1801344601 | Jessica Ann Pettitt | Physician Assistant | 21200 Ne 190th Ct, Battle Ground, WA 98604-9636 | 2016-09-21 |
| 1407300098 | Joshua David Evans | Physician Assistant | 9040 Jackson Ave Mchj Clq C, Tacoma, WA 98431-1100 | 2016-08-11 |
| Find all providers with the same taxonomy | ||||
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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.