MS. VICTORIA HOLMAN (NPI# 1952495046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952495046 |
Entity Type | Individual |
Full Name | MS. VICTORIA HOLMAN |
Credential | RN,ANP |
Practice Address |
3009 N Ballas Rd Suite 102b Saint Louis MO 63131-2322 |
Mailing Address |
670 Mason Ridge Center Dr Ste 300 Saint Louis MO 63141-8573 |
Practice Telephone | 3147252010 |
Practice Fax Number | 3147250709 |
Mailing Telephone | 3147252010 |
Mailing Fax Number | 3147250709 |
Enumeration Date | 2006-10-03 |
Last Update Date | 2016-08-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 121611 | MO | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
121611 | MO | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
121611 | MO | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 1952495046 | 05 | |
MO | 425299336 | 05 |
Street Address |
3009 N BALLAS RD SUITE 102B |
City | SAINT LOUIS |
State | MO |
Zip Code | 63131-2322 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043214505 | Lee S Portnoff | Dermatology | 3009 N Ballas Rd, Ste 310a, Saint Louis, MO 63131-2353 | 2005-06-11 |
1255878054 | John William Molitor Jr. | Nurse Practitioner | 3009 N Ballas Rd, Suite 323a, Saint Louis, MO 63131-2322 | 2017-01-31 |
1669922068 | Melanie Huff | Registered Nurse | 3009 N Ballas Rd, Ste 207b, Saint Louis, MO 63131-2322 | 2016-10-10 |
1518410810 | Alison Olivo | Audiologist | 3009 N Ballas Rd, Ste 380c, Saint Louis, MO 63131-2322 | 2016-08-03 |
1225483274 | Stacey Smith | Social Worker | 3009 N Ballas Rd, Building A, Suite 228, Saint Louis, MO 63131-2322 | 2016-04-27 |
1386005874 | Megan K Sipes | Nurse Practitioner | 3009 N Ballas Rd, Ste 264c, Saint Louis, MO 63131-2322 | 2016-03-11 |
1962867457 | Joseph Ryan Walsh | Physician Assistant | 3009 N Ballas Rd, Suite 304a, Saint Louis, MO 63131-2322 | 2015-12-28 |
1114321916 | Erin Desmarais | Audiologist | 3009 N Ballas Rd, Ste 351c, Saint Louis, MO 63131-2322 | 2014-10-22 |
1386048023 | Shannon L Tucker | Registered Nurse | 3009 N Ballas Rd, Ste 264c, Saint Louis, MO 63131-2322 | 2014-10-09 |
1700287059 | Julia Rudy | Nurse Anesthetist, Certified Registered | 3009 N Ballas Rd, Suite 371, Saint Louis, MO 63131-2322 | 2014-09-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568097954 | Avalcare Inc | Pharmacy | 10431 Clayton Rd, Saint Louis, MO 63131 | 2020-03-06 |
1891331369 | Life Clinic of Mo Dc PC | Chiropractor | 2051 South Lindbergh Blvd, Frontenac, MO 63131 | 2019-11-20 |
1447892542 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 30 S Lindbergh Blvd, Saint Louis, MO 63131 | 2019-10-10 |
1336797026 | Justa Davis | Dietitian, Registered | 3015 North Ballas, Saint Louis, MO 63131 | 2019-08-27 |
1730695362 | Curators of The University of Missouri | Psychologist | 12837 Flushing Meadows Drive, Sutie 220, Town and Country, MO 63131 | 2017-12-19 |
1770012031 | Danielle Marie Hargate | Specialist/Technologist | 732 Timber Trail, Frontenac, MO 63131 | 2017-06-08 |
1285087429 | Kathryn Parker | Internal Medicine | 1000 Des Peres Rd Ste 300, Saint Louis, MO 63131 | 2016-07-22 |
1437524360 | Julie Ann Godefroid | Nurse Practitioner | 1010 Old Des Peres Road, St. Louis, MO 63131 | 2015-12-03 |
1073982435 | Rebecca Baum Rainbolt | Social Worker | 12210 Clayton Rd, Saint Louis, MO 63131 | 2015-09-16 |
1518217322 | Advanced Anesthesia and Pain Management, LLC | Anesthesiology | 12805 Topping Woods Estate Drive, St. Louis, MO 63131 | 2012-09-19 |
Find all providers in zip 63131 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023619285 | Jennifer Lee Speiser | Nurse Practitioner | 12545 Olive Blvd, Saint Louis, MO 63141-6311 | 2020-11-04 |
1265045264 | Andrea Jane Montgomery | Nurse Practitioner | 444 Honeysuckle Ln, Saint Louis, MO 63119-4521 | 2020-08-28 |
1396362224 | Erin M Kehoe | Nurse Practitioner | 12973 Olive Blvd, Saint Louis, MO 63141-6149 | 2020-06-26 |
1508482506 | Matthew Dale Tieskoetter | Nurse Practitioner | 333 S Kirkwood Rd Ste 203, Saint Louis, MO 63122-6161 | 2020-06-25 |
1861033615 | Benedicta Esi | Nurse Practitioner | 6024 Pennsylvania Ave, Saint Louis, MO 63111-2555 | 2019-10-02 |
1245896893 | Katina D Smith | Nurse Practitioner | 8820 Mcnulty Dr, Saint Louis, MO 63114-4146 | 2019-05-18 |
1912413584 | Lucija Kozul Sadl | Nurse Practitioner | 3525 Forest Dale Dr, Saint Louis, MO 63125-4212 | 2017-12-19 |
1275071326 | Kathryn Ries | Nurse Practitioner | 3535 South Broadway, Suite 118, Saint Louis, MO 63118-3907 | 2017-02-09 |
1144775966 | Hienok Hailu | Nurse Practitioner | 11725 Casa Grande Dr, Saint Louis, MO 63146-4223 | 2016-08-22 |
1992167522 | Lanyn Clark | Nurse Practitioner | 40 Ladue Ter, Saint Louis, MO 63124-2048 | 2016-03-23 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63131 |
Please comment or provide details below to improve the information on MS. VICTORIA HOLMAN.
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.