AMY HOLM (NPI# 1922429588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922429588 |
Entity Type | Individual |
Full Name | AMY HOLM |
Practice Address |
812 W Mlk Blvd #100 Tampa FL 33603-3338 |
Practice Telephone | 8132240525 |
Practice Fax Number | 8132240622 |
Mailing Telephone | 8132240525 |
Mailing Fax Number | 8132240622 |
Enumeration Date | 2013-12-30 |
Last Update Date | 2015-09-03 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 005843900 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407192438 | Amy Jeanne Holm | Nurse Practitioner | 1350 S Eliseo Dr, Suite 130, Greenbrae, CA 94904-2011 | 2012-12-19 |
Street Address |
812 W MLK BLVD #100 |
City | TAMPA |
State | FL |
Zip Code | 33603-3338 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700400959 | Jean V. Dieudonne | Pharmacist | 701 W. Dr Martin Luther King Blvd, Tampa, FL 33603 | 2020-06-03 |
1538791082 | Champion Wellness Center of The Heights | Chiropractor | 800 W Martin Luther King Jr Blvd, Suite 3, Tampa, FL 33603 | 2020-02-12 |
1700366010 | Marie A Brister Md LLC | Family Medicine | 508 W Dr Martin Luther King Jr Blvd Ste A, Tampa, FL 33603 | 2018-08-16 |
1619415197 | Riverside Recovery of Tampa, LLC | Substance Abuse Rehabilitation Facility | 4004 N. Riverside Dr., Tampa, FL 33603 | 2017-02-06 |
1306213194 | Jacqueline Dowgiallo | Case Manager/Care Coordinator | 4004 N Riverside Dr, Tampa, FL 33603 | 2015-08-27 |
1629487061 | Robin Ann Waters | Social Worker | 1016 W Hillsborough Ave, Tampa, FL 33603 | 2014-08-11 |
1831430453 | Cassandra Gonzalez | Social Worker | 1726 W Rio Vista Ave, Tampa, FL 33603 | 2013-03-06 |
1487908893 | Spine Injury Physicians LLC | Neurological Surgery | 607 W Martin Luther King Blvd, Suite 1, Tampa, FL 33603 | 2012-11-07 |
1861742124 | Joseph Timothy Candelore Jr. | Internal Medicine | 2333 W Hillsborough Ave Ste 160, Tampa, FL 33603 | 2012-09-14 |
1679835599 | Odessa Biandudi | Dentist | 825 West Martin Luther King Boulevard, Tampa, FL 33603 | 2012-06-15 |
Find all providers in zip 33603 |
Taxonomy Code | 335E00000X |
Grouping | Suppliers |
Classification | Prosthetic/Orthotic Supplier |
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831705805 | Fourroux Prosthetics, Inc | Prosthetic/Orthotic Supplier | 5453 N 59th St, Tampa, FL 33610-2011 | 2020-09-16 |
1013482546 | Westcoast Brace & Limb | Prosthetic/Orthotic Supplier | 4809 Memorial Hwy Ste C, Tampa, FL 33634-7515 | 2018-10-11 |
1700383312 | Gomez Orthotic Systems LLC | Prosthetic/Orthotic Supplier | 4809 Memorial Hwy, Tampa, FL 33634-7515 | 2018-04-10 |
1043767510 | Its Jazzy Salo | Prosthetic/Orthotic Supplier | 3010 N 22nd St, Tampa, FL 33605-1914 | 2016-09-01 |
1013462316 | Danori Inc. | Prosthetic/Orthotic Supplier | 1425 W Busch Blvd, Tampa, FL 33612-7601 | 2016-08-17 |
1396135315 | Express Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 3603 W Flora St, Tampa, FL 33614-4025 | 2015-01-28 |
1033462171 | About You | Prosthetic/Orthotic Supplier | 3401 Henderson Blvd, Suite A, Tampa, FL 33609-3989 | 2012-10-25 |
1376858688 | American Ortho Tech Laboratories, Inc. | Prosthetic/Orthotic Supplier | 4809 Memorial Hwy Ste 100, Tampa, FL 33634-7515 | 2010-08-11 |
1740302645 | Italy Shoe Lab, Inc | Prosthetic/Orthotic Supplier | 9639 Palm River Rd, Tampa, FL 33619-4433 | 2007-04-04 |
1194733758 | Westcoast Brace & Limb | Prosthetic/Orthotic Supplier | 5311 E Fletcher Ave, Tampa, FL 33617-1147 | 2006-08-03 |
Find all providers in TAMPA |
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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.