WADE HOLLINGSHEAD (NPI# 1962438895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962438895 |
| Entity Type | Individual |
| Full Name | WADE HOLLINGSHEAD |
| Credential | FNP |
| Practice Address |
1059 N 100 W Beaver UT 84713-1690 |
| Mailing Address |
Po Box 1690 Beaver UT 84713-1690 |
| Practice Telephone | 4354387280 |
| Practice Fax Number | 4354387210 |
| Mailing Telephone | 4354387280 |
| Mailing Fax Number | 4354387210 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2012-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4813074-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | STATE LICENSE NUMBER | 4813074-4408 | 01 |
| Street Address |
1059 N 100 W |
| City | BEAVER |
| State | UT |
| Zip Code | 84713-1690 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841295938 | Kenneth Lynn Hussey | Physician Assistant | 1059 N 100 W, Beaver, UT 84713-1690 | 2005-06-16 |
| 1740750561 | Joan Yardley | Nurse Practitioner | 1059 N 100 W, Beaver, UT 84713-7758 | 2018-12-05 |
| 1811399116 | Reagan Fails | Physician Assistant | 1059 N 100 W, Beaver, UT 84713-1690 | 2014-09-18 |
| 1568800209 | Rhett R Smith | Family Medicine | 1059 N 100 W, Beaver, UT 84713-1690 | 2013-06-04 |
| 1952605370 | Travis Hicks | Physician Assistant | 1059 N 100 W, Beaver, UT 84713-1690 | 2010-12-28 |
| 1972747269 | Lindsay Ann Cheney | Nurse Practitioner | 1059 N 100 W, Beaver, UT 84713-1690 | 2009-04-30 |
| 1518117167 | David Myntti | Physician Assistant | 1059 N 100 W, Beaver, UT 84713-1690 | 2008-09-19 |
| 1083755342 | Rebecca S Rasmusson | Nurse Practitioner | 1059 N 100 W, Beaver, UT 84713-1690 | 2007-02-09 |
| 1295817708 | Lance Clyde Smith | Family Medicine | 1059 N 100 W, Beaver, UT 84713-1690 | 2006-10-20 |
| 1770570202 | Beaver Medical, LLC | Clinic/Center | 1059 N 100 W, Beaver, UT 84713-1690 | 2005-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780086983 | E. Jones Legacy Care Homes | Assisted Living Facility | 380 N 500 W, Beaver, UT 84713 | 2014-09-18 |
| 1679823876 | H2rx | Pharmacy | 98 N Main Street #b, Beaver, UT 84713 | 2012-09-14 |
| 1699042176 | Shari Lyn Gillins | Case Manager/Care Coordinator | 75 West 1175 North, Beaver, UT 84713 | 2011-11-28 |
| 1558563650 | Doris Gale Cowan | Registered Nurse | 590 North 100 East, Beaver, UT 84713 | 2007-06-01 |
| 1942420229 | David S Howard | Dentist | 225 N Main, Beaver, UT 84713 | 2007-04-27 |
| 1487772315 | Delmont G. Myers | Dentist | 885 No, 50 E., Beaver, UT 84713 | 2007-03-27 |
| 1700928785 | Kathleen Hanley Rose | Social Worker | 75 W 1175 N, Beaver, UT 84713 | 2007-02-13 |
| 1679646319 | Gary W. Clark A Professional Corporation | Durable Medical Equipment & Medical Supplies | 55 N 400 E, Beaver, UT 84713 | 2006-11-17 |
| 1477666295 | Harold D Murdock | Dentist | 55 No 400 E, Beaver, UT 84713 | 2006-08-16 |
| 1114194909 | Kandance Muir | Case Manager/Care Coordinator | 75 W 1175 N, Beaver, UT 84713 | 2008-05-12 |
| Find all providers in zip 84713 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598364762 | Karla Marie Elias | Nurse Practitioner | 102 Jodi Dr, Beaver, PA 15009-9522 | 2020-10-20 |
| 1952932642 | Derek Allen Lawhorn | Nurse Practitioner | 32 Sunset Ln, Beaver, OH 45613-9319 | 2020-01-31 |
| 1164910469 | Susan Elizabeth Bull | Nurse Practitioner | 1480 2nd St Fl 1, Beaver, PA 15009-2414 | 2018-04-23 |
| 1750824595 | Amanda Leigh Nuzzo | Nurse Practitioner | 108 Duncan Cir, Beaver, PA 15009-9660 | 2016-11-28 |
| 1871785261 | Jill Keneda Bailey | Nurse Practitioner | 993 Ritter Dr, Beaver, WV 25813-9556 | 2007-08-09 |
| 1255477212 | Linkous Family Health Care LLC | Nurse Practitioner | 993 Ritter Drive, Beaver, WV 25813 | 2007-01-29 |
| 1093357915 | Vanessa Ann Sidick | Nurse Practitioner | 4 Peartree Way, Beaver, PA 15009-1954 | 2019-10-11 |
| 1922580703 | Amanda Hope Bary | Nurse Practitioner | 1 Peartree Way, Beaver, PA 15009-1954 | 2018-08-29 |
| 1275077208 | Brian Yorns | Nurse Practitioner | 605 Sharon Rd, Beaver, PA 15009-1919 | 2016-12-09 |
| 1629475835 | Wendy Robison | Nurse Practitioner | 1000 Dutch Ridge Rd, Beaver, PA 15009-9727 | 2014-12-03 |
| Find all providers in BEAVER | ||||
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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.