Individual provider Active NPI

Richard Beam Hollar III, MS, LAT, ATC

  • Athletic Trainer
  • Richmond, IN
National Provider Identifier
1508239690
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
1400 Highland Rd
Richmond, IN 47374-8809
Phone
(765) 973-8057
NPI assigned
Nov 11, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AL Primary

Addresses

Primary practice location

1400 Highland Rd
Richmond, IN 47374-8809

Mailing address

4931 Smyrna Rd
Richmond, IN 47374-9660
Phone (205) 565-9998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1508239690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4931 SMYRNA RD",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473749660",
            "telephone_number": "205-565-9998",
            "fax_number": "765-939-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 HIGHLAND RD",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473748809",
            "telephone_number": "765-973-8057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAR",
        "first_name": "RICHARD",
        "middle_name": "BEAM",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "MS, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-11",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.