NPIMap

Catherine Hollahan, ACNP

Individual provider Active NPI Nurse Practitioner · Lakeland, TN

NPI 1700910296 · NPPES record last updated Nov 5, 2013

Key facts

NPI
1700910296
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
APN12232 (TN)
Practice address
8950 US Highway 64
Suite 109
Lakeland, TN 38002-4566
Phone
(901) 213-0100
Fax
(901) 213-0101
NPI assigned
Mar 15, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
HHS exclusion list flag
The National Provider Directory flags this NPI as appearing on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
12232TNMDGeneral Practice Dentistry
APN12232TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Body for Life LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN12232 TN Yes

Addresses

Primary practice location

8950 US Highway 64
Suite 109
Lakeland, TN 38002-4566

Mailing address

8950 US Highway 64
Suite 109
Lakeland, TN 38002-4566
Phone (901) 213-0100

Other providers in Lakeland, TN

All providers in Lakeland, TN · Nurse Practitioner in Tennessee

Sources for this page

Verify at the official NPI Registry.