Donna Hollis, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3011280 Issued in KY

Practice address

700 Martin L King Ave
Henderson, KY 42420-4242

Phone

(270) 826-4800

NPI assigned

Apr 28, 2017

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

Other names 1

• Donna Hollis Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Fast Pace Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Chapel Hill, TN
  • NPI 1316602774
  NPD (past)

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

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1770018525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MARTIN L KING AVE",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "42420",
            "telephone_number": "270-826-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MARTIN L KING AVE",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424204242",
            "telephone_number": "270-826-4800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1351 Tie Camp Rd",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "TN",
            "postal_code": "384852861",
            "country_code": "US",
            "telephone_number": "615-510-3501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "509 N Carrier St",
            "address_purpose": "LOCATION",
            "city": "Morganfield",
            "state": "KY",
            "postal_code": "424371201",
            "country_code": "US",
            "telephone_number": "731-394-1145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLIS",
        "first_name": "DONNA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-28",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3011280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "HOLLIS",
            "credential": "APRN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Shelby Nichole Hite
• Meagan Michelle Hoefling, FNP
• Daniel A Hoffman, DO
• Cheryl Lynn Hogg-Hazelwood
• Marissa Hollar
• Sabrina Dawn Holmes
• Hometown Vision Care LLC
• Sharon Hope
• Jessica Hopper
• Sarah E Hopper, APRN

• Family Nurse Practitioner in Henderson, KY
• Providers in Henderson, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.