Holli Kay Cottrell, STNA
Individual provider Active NPI Nurse's Aide · Lexington, OH
NPI 1467783183 · NPPES record last updated Jan 20, 2010
Key facts
- NPI
- 1467783183
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- License
- 501045411105 (OH)
- Practice address
- 7109 County Road 57
Lexington, OH 44904-9639 - Phone
- (419) 565-3713
- NPI assigned
- Jan 20, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 501045411105 | OH | MD | Nurse's Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 501045411105 | OH | Yes |
Addresses
Primary practice location
7109 County Road 57
Lexington, OH 44904-9639
Mailing address
7109 County Road 57
Lexington, OH 44904-9639
Phone (419) 565-3713
Other providers in Lexington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.