Active NPI
Jennifer Anne Hollis
- Adult Development & Aging Psychologist
- Lyons, NE
National Provider Identifier
1770470817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Development & Aging Psychologist
- Practice address
- 1035 Diamond St Apt 27
Lyons, NE 68038-2707 - Phone
- (402) 870-1564
- NPI assigned
- Jun 20, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Development & Aging Psychologist | 103TA0700X | Primary |
Addresses
Primary practice location
1035 Diamond St Apt 27
Lyons, NE 68038-2707
Mailing address
1035 Diamond St Apt 27
Lyons, NE 68038-2707
Phone (402) 870-1564
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750377600000",
"number": "1770470817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 DIAMOND ST APT 27",
"city": "LYONS",
"state": "NE",
"postal_code": "680382707",
"telephone_number": "402-870-1564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 DIAMOND ST APT 27",
"city": "LYONS",
"state": "NE",
"postal_code": "680382707",
"telephone_number": "402-870-1564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLIS",
"first_name": "JENNIFER",
"middle_name": "ANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-20",
"last_updated": "2025-06-20",
"certification_date": "2025-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lyons, NE
- Alex Anita Anderson
- Baum Harmon Mercy Hospital (MercyOne Lyons Family Medicine)
- Happy Days Senior Center
- Improve Care Management and Rehab Consultant Inc (Lyons Living Center)
- Logan Valley Manor LLC (Logan Valley Manor)
- Lyons Community Foundation
- Lyons Fire District (Lyons Volunteer Fire and Rescue)
- Lyons-Decatur Northeast Public Schools
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.