Active NPI
Dawn L. Holley, R.N.
- Registered Nurse
- Waynesville, OH
National Provider Identifier
1033302823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN241039
- Practice address
- 2940 O Neall Rd
Waynesville, OH 45068-8676 - Phone
- (937) 620-8506
- Fax
- (513) 897-2940
- NPI assigned
- Aug 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN241039 | OH | Primary |
Addresses
Primary practice location
2940 O Neall Rd
Waynesville, OH 45068-8676
Mailing address
2940 O Neall Rd
Waynesville, OH 45068-8676
Phone (937) 620-8506
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN241039 | OH | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shiloh of Ohio, LLC | Past | Accepting new patients |
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": "1187913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187913600000",
"number": "1033302823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2940 O NEALL RD",
"city": "WAYNESVILLE",
"state": "OH",
"postal_code": "450688676",
"telephone_number": "937-620-8506",
"fax_number": "513-897-2940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2940 O NEALL RD",
"city": "WAYNESVILLE",
"state": "OH",
"postal_code": "450688676",
"telephone_number": "937-620-8506",
"fax_number": "513-897-2940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLEY",
"first_name": "DAWN",
"middle_name": "L.",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-24",
"last_updated": "2007-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN241039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waynesville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.