Kimberley Marie Hollis, PHD

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

34 Benwood Ave
Buffalo, NY 14214-1761

Phone

(716) 986-9199

Fax

(716) 869-6402

NPI assigned

Sep 27, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1033833710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "584 MINNESOTA AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142151232",
            "telephone_number": "716-818-2462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 BENWOOD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141761",
            "telephone_number": "716-986-9199",
            "fax_number": "716-869-6402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIS",
        "first_name": "KIMBERLEY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanley Jack Hollander, LPN
• N Ann Hollenberg, D.P.M.
• Carolyn Holley, LPN
• William A Holley, DPM
• Elizabeth Hollingdrake
• Jerome Joseph Holloway Sr.
• Nadia Holloway
• Nicole Holloway, LMHC
• Amanda Lee Holman, DPT
• Tharon B. Holmberg, CRNP

• Social Worker in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.