Individual provider Active NPI

Holly Elizabeth Yanelli, CNIM

  • Electroneurodiagnostic Specialist/Technologist
  • Plano, TX
National Provider Identifier
1013431980
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
License
3780 Issued in TX
Practice address
5000 Legacy Dr Ste 494
Plano, TX 75024-3120
Phone
(972) 591-5935
Fax
(469) 453-3004
NPI assigned
Aug 1, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246ZE0600X 3780 TX Primary

Addresses

Primary practice location

5000 Legacy Dr Ste 494
Plano, TX 75024-3120

Mailing address

5000 Legacy Dr Ste 494
Plano, TX 75024-3120
Phone (972) 591-5935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3780TXMDElectroneurodiagnostic Specialist/Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ranger Neurophysiology, P.a. Single Specialty CurrentSince Jul 24, 2022 Accepting new patients

Locations

5000 Legacy Dr
Ste 494
Plano, TX 75024
Phone (972) 591-5935

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1013431980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 LEGACY DR STE 494",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243120",
            "telephone_number": "972-591-5935",
            "fax_number": "469-453-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 LEGACY DR STE 494",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243120",
            "telephone_number": "972-591-5935",
            "fax_number": "469-453-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANELLI",
        "first_name": "HOLLY",
        "middle_name": "ELIZABETH",
        "credential": "CNIM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "TX",
            "license": "3780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.