Holly M Pray, REGISTERED DIETICIAN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

37002105A Issued in IN

Practice address

720 N Lincoln St
Greensburg, IN 47240-1327

Phone

(812) 663-4331

Fax

(812) 663-1299

NPI assigned

Feb 24, 2015

Last updated

Feb 24, 2015By 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 1

Addresses

Other names 1

• Holly M Vanderpohl Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1424736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424736000000",
    "number": "1467844704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 N LINCOLN ST",
            "city": "GREENSBURG",
            "state": "IN",
            "postal_code": "472401327",
            "telephone_number": "812-663-4331",
            "fax_number": "812-663-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 N LINCOLN ST",
            "city": "GREENSBURG",
            "state": "IN",
            "postal_code": "472401327",
            "telephone_number": "812-663-4331",
            "fax_number": "812-663-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAY",
        "first_name": "HOLLY",
        "middle_name": "M",
        "credential": "REGISTERED DIETICIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-24",
        "last_updated": "2015-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "37002105A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "VANDERPOHL",
            "middle_name": "M",
            "credential": "REGISTERED DIETITIAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Timothy Michael Peklo, MD
• Amanda B Phillips, BCBA
• Karen Brian Pollitt, CPNP
• Leann Beth Porter
• Practicing Physicians of Greensburg
• Beth Ann Preston, RPH
• Jill Marie Prickel
• Providers for Autism Treatment and Habilitation
• Kelsey Puckett, OTR
• Purnendue P Datta MD

• Registered Dietitian in Greensburg, IN
• Providers in Greensburg, IN by specialty
• Registered Dietitian in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; 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.