Ellman Barkley Holder, RN

Primary specialty

Emergency Registered NurseTaxonomy code 163WE0003X

License

28187323A Issued in IN

Practice address

3500 S Lafountain St
Kokomo, IN 46902-3803

Phone

(765) 776-8444

NPI assigned

Aug 28, 2019

Last updated

Aug 28, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Registered Nurse

State licenses

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1144878612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 GULICK ST",
            "city": "JONESBORO",
            "state": "IN",
            "postal_code": "469381242",
            "telephone_number": "765-860-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 S LAFOUNTAIN ST",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023803",
            "telephone_number": "765-776-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDER",
        "first_name": "ELLMAN",
        "middle_name": "BARKLEY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-28",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "IN",
            "license": "28187323A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Hockersmith, RBT
• Sheila F. Hockman, DO
• Timothy James Hockman
• Roberta Rebecca Hodgin, COTA/L
• Katelyn Holcomb, LMFTA
• Holistic Health & Detox Center, LLC
• Courtney Allen Holland, MD
• Jetney Hollonquest
• Alexis Holt, AUD
• Emily Rose Holt

• Emergency Registered Nurse in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Emergency Registered Nurse in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.