KAITLIN JOYCE HOLLISTER (NPI# 1982229019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982229019 |
| Entity Type | Individual |
| Full Name | KAITLIN JOYCE HOLLISTER |
| Practice Address |
5983 N Shore Dr Eau Claire WI 54703-2079 |
| Practice Telephone | 7155561010 |
| Mailing Telephone | 7155561010 |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2020-06-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
5983 N SHORE DR |
| City | EAU CLAIRE |
| State | WI |
| Zip Code | 54703-2079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114535929 | Eclipse Counseling LLC | Clinic/Center | 1136 Barron St, Eau Claire, WI 54703 | 2020-07-17 |
| 1982261012 | Melissa Mae Jenneman | Social Worker | 306 Broadway Street, Eau Claire, WI 54703 | 2019-05-23 |
| 1396217014 | Jennifer Grace Joos | Case Manager/Care Coordinator | 2523 Diane Ln, Eau Claire, WI 54703 | 2018-12-19 |
| 1811437346 | Phillip Dolan | Specialist/Technologist | 2801 E Princeton Ave, Eau Claire, WI 54703 | 2017-03-02 |
| 1467830463 | Ryan Behnke | Specialist/Technologist | 725 Hudson St., Eau Claire, WI 54703 | 2015-05-11 |
| 1366737769 | Eric D. Carlson | Dentist | 1020 Menomonie Street, Eau Claire, WI 54703 | 2011-06-14 |
| 1669782587 | Jennifer Jean Andersen | Registered Nurse | 2027 West Ridge Dr., Eau Claire, WI 54703 | 2010-10-13 |
| 1407011257 | Scott R Lau | Hearing Instrument Specialist | 1802 Galloway Street, Eau Claire, WI 54703 | 2008-07-22 |
| 1134316615 | Robert G Grayson | Dentist | 2725 Morningside Dr, Eau Claire, WI 54703 | 2007-09-28 |
| 1689880858 | Okie Earl Allen | Hearing Instrument Specialist | 616 Lamplighter Ct, Eau Claire, WI 54703 | 2007-05-15 |
| Find all providers in zip 54703 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518576933 | Sonam Bansal | Student in an Organized Health Care Education/Training Program | 6377 Prairie Cir S, Eau Claire, WI 54701-6792 | 2020-07-31 |
| 1417572827 | Marcus Wollak | Student in an Organized Health Care Education/Training Program | 4015 Damon Ct, Eau Claire, WI 54701-3035 | 2020-06-11 |
| 1376181339 | Grace Erickson | Student in an Organized Health Care Education/Training Program | 1325 State St, Eau Claire, WI 54701-4071 | 2019-12-20 |
| 1528517943 | Taylor Krugh | Student in an Organized Health Care Education/Training Program | 7087 Pipestone Rd, Eau Claire, MI 49111-9723 | 2016-09-27 |
| 1265981062 | Molly Hart | Student in an Organized Health Care Education/Training Program | 509 University Dr., Eau Claire, WI 54701 | 2016-09-22 |
| 1952752578 | Francis Eliot Herzog | Student in an Organized Health Care Education/Training Program | 3351 Westover Ln, Eau Claire, WI 54701-7172 | 2016-06-24 |
| 1538547245 | Adam Gregory Estabrooks | Student in an Organized Health Care Education/Training Program | 916 S Barstow St, Eau Claire, WI 54701-3866 | 2015-05-13 |
| 1417577610 | Samantha Vouyiouklis | Student in an Organized Health Care Education/Training Program | 617 W Clairemont Ave, Eau Claire, WI 54701-6223 | 2020-04-17 |
| 1427678614 | Danash Raja | Student in an Organized Health Care Education/Training Program | 617 W Clairemont Ave, Eau Claire, WI 54701-6223 | 2020-04-17 |
| 1134749328 | Taylor Feuling | Student in an Organized Health Care Education/Training Program | 617 W Clairemont Ave, Eau Claire, WI 54701-6223 | 2020-04-17 |
| Find all providers in EAU CLAIRE | ||||
| City | EAU CLAIRE |
| Zip Code | 54703 |
Please comment or provide details below to improve the information on KAITLIN JOYCE HOLLISTER.
| 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.