Holly Bohannan, CRNA MSNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

C02604 CRNA Issued in AR

Practice address

3000 Medical Center Parkway
Bentonville, AR 72712

Phone

(479) 530-6649

NPI assigned

May 10, 2006

Last updated

Jul 16, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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

• Bohannan Anesthesia PLLC

  • Ophthalmologic Surgery Clinic/Center
  • Rogers, AR
  • NPI 1740758366
  Medicare reassignment NPD Authorized official
• Taylor Surgery Center, LLC

  dba Surgical Arts Surgery Center

  • Anesthesiology Physician
  • Fayetteville, AR
  • NPI 1740738897
  Medicare reassignment NPD
• Benton Emergency Group LLC

  • Emergency Medicine Physician
  • Bentonville, AR
  • NPI 1720187214
  NPD (past)
• Bentonville Anesthesia PLLC

  • Anesthesiology Physician
  • Bentonville, AR
  • NPI 1447281670

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Bentonville Radiology Consultants, PLLC

  • Diagnostic Radiology Physician
  • Bentonville, AR
  • NPI 1003882747
  NPD (past)
• Northeast Arkansas Clinic Charitable Foundation, Inc.

  dba NEA Baptist Clinic Anesthesia

  • Anesthesiology Physician
  • Jonesboro, AR
  • NPI 1992036032
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279238400000",
    "number": "1326097890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18802 COPPERMINE RD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727568148",
            "telephone_number": "479-925-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MEDICAL CENTER PARKWAY",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "72712",
            "telephone_number": "479-530-6649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHANNAN",
        "first_name": "HOLLY",
        "credential": "CRNA MSNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2010-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C02604 CRNA",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R65511",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen R. Blankenship, MS, CCC-SLP
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• Joy R Bogart
• Keith Allen Bohannon, APRN
• Maria Bojanowska
• Sara Elizabeth Bojie, LPC, PMH-C
• Bokker Healthcare LLC
• Paige Boles, APN

• Certified Registered Nurse Anesthetist in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Certified Registered Nurse Anesthetist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.