Katrena Michelle Holden (NPI# 1225347164, PAC ID# 9032122676) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1225347164 |
| PAC ID by PECOS | 9032122676 |
| Professional Enrollment ID | I20110722000482 |
| Full Name | Katrena Michelle Holden |
| Organization Legal Name | TEXAS SPINE AND JOINT HOSPITAL LLC |
| Address |
715 N 4th St Texas Spine and Joint Hospital Ltd Longview TX 75601-5412 |
| Phone Number | 9037588754 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0345272381 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450032 | GOOD SHEPHERD MEDICAL CENTER MARSHALL |
| Address | Phone | Organization |
|---|---|---|
| 708 E Corsicana St, Athens, TX 75751-2627 | 9039045007 | TEXAS SPINE AND JOINT HOSPITAL LLC |
| 715 N 4th St, Texas Spine and Joint Hospital Ltd, Longview, TX 75601-5412 | 9037588754 | TEXAS SPINE AND JOINT HOSPITAL LLC |
| 725 N 4th St, Texas Spine and Joint Hospital Ltd, Longview, TX 75601-5412 | 9037588754 | TEXAS SPINE AND JOINT HOSPITAL LLC |
| 1814 Roseland Blvd, Tyler, TX 75701-4234 | 9035253333 | TEXAS SPINE AND JOINT HOSPITAL LLC |
| 8101 S Broadway Ave, Texas Spine and Joint Hospital Ltd, Tyler, TX 75703-5469 | 9039390920 | TEXAS SPINE AND JOINT HOSPITAL LLC |
| Organization Legal Name | TEXAS SPINE AND JOINT HOSPITAL LLC |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria Stanovic Karlson | Nurse Practitioner | Texas Spine and Joint Hospital LLC | 8101 S Broadway Ave, Texas Spine and Joint Hospital Ltd, Tyler, TX 75703-5469 |
| Bradford J White | Nurse Practitioner | Texas Spine and Joint Hospital LLC | 2211 S Loop, 256 Tsjh Urgent Care Palestine/texas Spine and Joint H, Palestine, TX 75801-4701 |
| Rebecca C Ellspermann | Physician Assistant | Texas Spine and Joint Hospital LLC | 1814 Roseland Blvd, Tyler, TX 75701-4234 |
| Christopher K Bailey | Nurse Practitioner | Texas Spine and Joint Hospital LLC | 1814 Roseland Blvd, Tyler, TX 75701-4234 |
| Renny Varghese | Emergency Medicine | Texas Spine and Joint Hospital LLC | 1814 Roseland Blvd, Tyler, TX 75701-4234 |
| Kimberley A Lowry | Nurse Practitioner | Texas Spine and Joint Hospital LLC | 1814 Roseland Blvd, Tyler, TX 75701-4234 |
| Brooke E Dreiss | Nurse Practitioner | Texas Spine and Joint Hospital LLC | 1814 Roseland Blvd, Tyler, TX 75701-4234 |
| Anthony W Johnson | Physician Assistant | Texas Spine and Joint Hospital LLC | 1814 Roseland Blvd, Tyler, TX 75701-4234 |
| Mark Wesley Mcdonald | Family Medicine | Texas Spine and Joint Hospital LLC | 1814 Roseland Blvd, Tyler, TX 75701-4234 |
| Stephanie A Mowery | Nurse Practitioner | Texas Spine and Joint Hospital LLC | 1814 Roseland Blvd, Tyler, TX 75701-4234 |
| Street Address |
715 N 4TH ST TEXAS SPINE AND JOINT HOSPITAL LTD |
| City | LONGVIEW |
| State | TX |
| Zip | 75601-5412 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daytral Matasha Brown | Nurse Practitioner | 103 Woodbine Pl A, The Beverly Clinic, Longview, TX 75601-2912 | |
| Andrea M Marjason | Clinical Social Worker | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Sabine Valley Regional Mhmr, Longview, TX 75601-2912 |
| Michelle Ann Vess | Physician Assistant | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Sabine Valley Regional Mhmr, Longview, TX 75601-2912 |
| Donald Winsted | Psychologist, Clinical | 103 Woodbine Pl A, Longview, TX 75601-2912 | |
| Courtney Elizabeth Treat | Physician Assistant | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Sabine Valley Regional Mhmr, Longview, TX 75601-2912 |
| Jeremiah R Sanders | Nurse Practitioner | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Sabine Valley Regional Mhmr, Longview, TX 75601-2912 |
| Carrie D Hinton | Nurse Practitioner | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Sabine Valley Regional Mhmr, Longview, TX 75601-2912 |
| Gracie M Adkisson | Nurse Practitioner | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Longview, TX 75601-2912 |
| Debbie L Anderson | Clinical Social Worker | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Sabine Valley Regional Mhmr, Longview, TX 75601-2912 |
| Thomas Jay Dehaven | Ophthalmology | Trinity Clinic | 1705 Judson Rd, Longview, TX 75601-2938 |
| Find all physicians in zip 75601 | |||
| City | LONGVIEW |
| Zip Code | 75601 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LONGVIEW + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.