Holly Kimmy

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN335640L Issued in PA

Practice address

6351 W Lake Rd
Erie, PA 16505-2676

Phone

(814) 838-9191

NPI assigned

Oct 20, 2021

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

State licenses

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1083377675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6351 W LAKE RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165052676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6351 W LAKE RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165052676",
            "telephone_number": "814-838-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMMY",
        "first_name": "HOLLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN335640L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel A. Kim, M.D.
• William Chong Kim, DO
• Mary Ellen Kimble, LPC
• Eden Kimiagarov, DO
• Alyssa Leigh Kimmy, CRNA
• Charles E Kimple, MA
• Jane L Kincaid, CRT
• Laura Kinder
• Daniel J Kinem, DO
• A Paul King, DMD

• Registered Nurse in Erie, PA
• Providers in Erie, PA by specialty
• Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.