Mandy Irene Holford, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN000006013 Issued in OR

Practice address

1745 NE Klamath Ave
Roseburg, OR 97470-2119

Phone

(541) 672-5297

Fax

(541) 672-5297

NPI assigned

May 3, 2010

Last updated

May 3, 2010By the provider in NPPES

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

Other identifiers 1

Other names 1

• Mrs. Mandy Irene Horn Williams Former name

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": "1272844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272844800000",
    "number": "1407173297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 NE KLAMATH AVE",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974702119",
            "telephone_number": "541-672-5297",
            "fax_number": "541-672-5297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 NE KLAMATH AVE",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974702119",
            "telephone_number": "541-672-5297",
            "fax_number": "541-672-5297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLFORD",
        "first_name": "MANDY",
        "middle_name": "IRENE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-03",
        "last_updated": "2010-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OR",
            "license": "LPN000006013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF NURSING",
            "identifier": "LPN000006013",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANDY",
            "last_name": "HORN WILLIAMS",
            "middle_name": "IRENE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gordon Hodges
• Susan Hoerner
• Barbara Ann Hofford, RN
• Dorie Hogan, ND
• Aubrianna Hohensee
• Janet L Holland, LCSW
• Debi Hollander
• William T. Hollander, M.D.
• Jeremy C Hollingsead, FNP
• Holmes Family Practice, PC (Holmes Family Care)

• Licensed Practical Nurse in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Licensed Practical Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; 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.