Katherine Anne Hollenbeck, RN
Individual provider Active NPI Diabetes Educator Registered Nurse · Jay, OK
NPI 1003371980 · NPPES record last updated Feb 5, 2019
Key facts
- NPI
- 1003371980
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diabetes Educator Registered Nurse 163WD0400X
- License
- 82883 (OK)
- Practice address
- 859 E Melton Dr
Jay, OK 74346-2704 - Phone
- (918) 253-1738
- NPI assigned
- Feb 5, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82883 | OK | MD | Diabetes Educator Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | 82883 | OK | Yes |
Addresses
Primary practice location
859 E Melton Dr
Jay, OK 74346-2704
Mailing address
859 E Melton Dr
Jay, OK 74346-2704
Phone (918) 253-1738
Other providers in Jay, OK
- Stefan Shane Hacker
- Kaylee Rae Hail
- Chevelle Michelle Hale
- Nina Lou Hallum
- Whitney Hanes
- Shanna A Hopper
- Alisha Dawn Hughes
- Jacalyn Jonea Hulsey
- Sabrina Lynn Hurley
- Lana Husong
All providers in Jay, OK · Diabetes Educator Registered Nurse in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.