Betty A Holloway, RD

Primary specialty

NutritionistTaxonomy code 133N00000X

License

2208 Issued in WI

Practice address

N57W24950 N Corporate Cir
Prohealth Care Medical Associates Inc.
Sussex, WI 53089-4383

Phone

(262) 820-3093

Fax

(262) 532-9598

NPI assigned

Mar 29, 2012

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 29, 2012.

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1750657128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N57W24950 N CORPORATE CIR",
            "address_2": "PROHEALTH CARE MEDICAL ASSOCIATES INC.",
            "city": "SUSSEX",
            "state": "WI",
            "postal_code": "530894383",
            "telephone_number": "262-820-3093",
            "fax_number": "262-532-9598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N57W24950 N CORPORATE CIR",
            "address_2": "PROHEALTH CARE MEDICAL ASSOCIATES INC.",
            "city": "SUSSEX",
            "state": "WI",
            "postal_code": "530894383",
            "telephone_number": "262-820-3093",
            "fax_number": "262-532-9598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "BETTY",
        "middle_name": "A",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "WI",
            "license": "2208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Marie Hayden
• Dianne Christine Heer, OTA
• Karen Lee Heislen, LPN
• Michael James Herring, D.C.
• Hilary Anne Hetzel, APNP
• Janet Rose Holterman, RN
• Heike J Holzapfel, P.T.
• Marina Kovacevic Horschak, FNP
• Lauren Ashly Hotz
• Abbie Hunt-Halfman, CCC-SLP

• All providers in Sussex, WI
• Nutritionist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.