Shannon Marie Holyoke, RN, BSN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

200640590RN Issued in OR

Practice address

9425 N Geneva Ave
Portland, OR 97203-2648

Phone

(503) 504-5040

NPI assigned

Dec 22, 2009

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261440000000",
    "number": "1598094583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9425 N GENEVA AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972032648",
            "telephone_number": "503-504-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9425 N GENEVA AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972032648",
            "telephone_number": "503-504-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLYOKE",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-22",
        "last_updated": "2009-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "OR",
            "license": "200640590RN",
            "primary": true
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "OR",
            "license": "200646590RN",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lance T Holton, D.O.
• Laura E Holton, M.D.
• Nicole L Holton, DC
• Shyanne Holton, CSWA
• Sally Jane Holtzman, MD
• Zachary Holz
• Susan Holzem, OREGON LMT 20284
• Daniel Holzmacher
• Cynthia L Homberg, LCSW
• Home Care Medical LLC

• Home Health Registered Nurse in Portland, OR
• Providers in Portland, OR by specialty
• Home Health Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; 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.