Kimberly Holly, RN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

4704285902 Issued in MI

Practice address

2770 Carpenter Rd Ste 220
Ann Arbor, MI 48108-1267

Phone

(744) 971-6300

NPI assigned

Jul 17, 2014

Last updated

Jul 17, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Friends Who Care

  • Home Health Agency
  • Ann Arbor, MI
  • NPI 1093186132
  NPD (past)
• Friends Who Care, Inc

  • Home Health Agency
  • Berkley, MI
  • NPI 1184633828
  NPD (past)

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405555200000",
    "number": "1720495187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3065 FERNWOOD AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 CARPENTER RD STE 220",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081267",
            "telephone_number": "744-971-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLY",
        "first_name": "KIMBERLY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "MI",
            "license": "4704285902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Arthur Hollinshead, PA-C
• Rashard Hollman
• Todd Charles Hollon, MD
• Jordan Olivia Holloway, MD
• Keri Joy Holloway, CRNA
• Alexis Holman, MD, JD
• Ashlee Ellen Holman, M.D.
• Caitlin B Holman
• Jennifer K Holmberg, PH.D.
• Cristina Ann Holmes, NP-C

• Administrator Registered Nurse in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Administrator Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.