HOLLIS W HACKMAN (NPI# 1992748552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992748552 |
| Entity Type | Individual |
| Full Name | HOLLIS W HACKMAN |
| Credential | PH.D. |
| Practice Address |
1898 Fort Rd Sheridan WY 82801-8320 |
| Mailing Address |
5 Wild Rose Ln Sheridan WY 82801-8639 |
| Practice Telephone | 3076721638 |
| Mailing Telephone | 3076721638 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
181 | WY | Behavioral Health & Social Service Providers |
| Street Address |
1898 FORT RD |
| City | SHERIDAN |
| State | WY |
| Zip Code | 82801-8320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548251606 | Rosemary Therese Shiel | Counselor | 1898 Fort Rd, Sheridan, WY 82801-8320 | 2005-10-28 |
| 1164037024 | Aminata Aw | Hospitalist | 1898 Fort Rd, Sheridan, WY 82801-8320 | 2020-09-08 |
| 1386258879 | Amanda Lenore Hill | Social Worker | 1898 Fort Rd, Sheridan, WY 82801-8320 | 2020-09-02 |
| 1891310918 | Rebecca Lynn Gonzalez | Counselor | 1898 Fort Rd, Sheridan, WY 82801-8320 | 2020-06-15 |
| 1649825894 | Katelyn Elizabeth Klein | Registered Nurse | 1898 Fort Rd, Sheridan, WY 82801-8320 | 2019-08-05 |
| 1336700491 | Roxanne Jo Dobrava | Registered Nurse | 1898 Fort Rd, Sheridan, WY 82801-8322 | 2019-06-27 |
| 1457918344 | Thanh Liu | Pharmacy Technician | 1898 Fort Rd, Sheridan, WY 82801-8320 | 2019-05-25 |
| 1063076040 | Len Aaron Dannhaus | Psychologist | 1898 Fort Rd, Sheridan, WY 82801-8320 | 2019-04-25 |
| 1780247478 | Jennifer Diggins Way | Registered Nurse | 1898 Fort Rd, Sheridan, WY 82801-8320 | 2019-04-17 |
| 1184181364 | Rachel Lynn Tiedeman | Registered Nurse | 1898 Fort Rd, Sheridan, WY 82801-8320 | 2019-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891320172 | Sarah Coulter | Physician Assistant | 1401 W 5th Street, Attention Medical Services Staff, Sheridan, WY 82801 | 2020-03-07 |
| 1013552082 | Bonnie Bowman Schlesselman | Occupational Therapy Assistant | 1851 Big Horn Ave Sheridan Manor, Sheridan, WY 82801 | 2019-11-13 |
| 1790320976 | Jory Lee Turk | Physical Therapy Assistant | 1851 Bighorn Ave Sheridan Manor, Sheridan, WY 82801 | 2019-11-12 |
| 1356901532 | Kelsi Marie Martinez | Speech-Language Pathologist | 376 W Brundage St, Sheridan, WY 82801 | 2019-06-19 |
| 1841760410 | Christopher Michael Evans | Peer Specialist | 1221 W 5th Street, Sheridan, WY 82801 | 2018-11-27 |
| 1922582402 | Wyoming Eye Surgeons | Ophthalmology | 36 N. Gould St., Suite 2a, Sheridan, WY 82801 | 2018-09-20 |
| 1700368164 | Ashly Rose Garretson | Case Manager/Care Coordinator | 616 W 10th, Sheridan, WY 82801 | 2018-09-02 |
| 1053805382 | Sheridan Peak Wellness | Nutritionist | 740 S. Thurmond St., Sheridan, WY 82801 | 2018-06-20 |
| 1275040636 | Amber Van Dyke | Case Management | 757 Hwy 14 E, Sheridan, WY 82801 | 2018-01-08 |
| 1689103046 | Laura L Burrell | Case Manager/Care Coordinator | 151 W Brundage Street, Sheridan, WY 82801 | 2017-06-08 |
| Find all providers in zip 82801 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073536801 | Kurt P Benson | Psychologist | 1898 Fort Road, Sheridan Va Medical Center, Sheridan, WY 82807 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598389827 | Julio Brionez | Psychologist | 1115 1/2 Steele Street, Laramie, WY 82070-4661 | 2020-06-02 |
| 1235356288 | Donald Howard Benson | Psychologist | 3437 Stagecoach Dr, Casper, WY 82604-5445 | 2007-04-19 |
| 1225115561 | Mark Tanner Gibson | Psychologist | 175 River View Dr, Green River, WY 82935-4811 | 2006-11-01 |
| 1215928965 | Kim Knox Faulkner | Psychologist | 135 Pine Street, Suite B, Buffalo, WY 82834-2332 | 2005-11-02 |
| 1548656523 | Kelly Petrino, Psyd | Psychologist | 507 S 4th St, Laramie, WY 82070-3753 | 2015-04-07 |
| 1518206465 | Action Life Services, LLC | Psychologist | 963 Fort St, #4, Buffalo, WY 82834-2424 | 2013-02-12 |
| 1477707321 | Sheri J Fluellen | Psychologist | 719 E 17th St, Cheyenne, WY 82001-4711 | 2008-11-05 |
| 1184802175 | Cheryl A Godley | Psychologist | 1607 Cy Ave, Suite 302, Casper, WY 82604-3572 | 2008-02-01 |
| 1487709119 | Ronald L Sprinkle | Psychologist | 1277 N 15th St, Laramie, WY 82072-2343 | 2007-01-24 |
| 1760588271 | Kelly Lynne Pendley | Psychologist | 1277 N 15th St, Laramie, WY 82072-2343 | 2006-09-15 |
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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.