Holly Jo Compo, RN, PHN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

1793222 Issued in MN

Practice address

707 Highway 33 S Ste 12
Cloquet, MN 55720-2665

Phone

(218) 879-6768

Fax

(218) 879-5313

NPI assigned

Sep 27, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• White Drug Enterprises Inc

  • Community/Retail Pharmacy
  • Cloquet, MN
  • NPI 1053400655
  NPD (past)
• White Drug Enterprises Inc

  • Long Term Care Pharmacy
  • New Berlin, WI
  • NPI 1033521109
  NPD (past)

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1659856433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 COMPO LN",
            "city": "ESKO",
            "state": "MN",
            "postal_code": "557339424",
            "telephone_number": "218-390-7852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 HIGHWAY 33 S STE 12",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557202665",
            "telephone_number": "218-879-6768",
            "fax_number": "218-879-5313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMPO",
        "first_name": "HOLLY",
        "middle_name": "JO",
        "credential": "RN, PHN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-27",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "1793222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Memorial Hospital Association
• Community Memorial Hospital Association
• Community Memorial Hospital Association
• Compass Rose Counseling and Wellness, LLC
• Compassionate Quality Psychiatry PLLC
• John L Connolly, DDS
• Lindsey Ann Cook
• Konner Cooke
• Counties of Pine & Aitkin-Willow River Isd #577
• County of Carlton

• Registered Nurse in Cloquet, MN
• Providers in Cloquet, MN by specialty
• Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.