Lee Allen Holladay, C.R.N.A.

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

613235 Issued in TX

Practice address

906 Judson Rd
Longview, TX 75606-5113

Phone

(903) 655-1313

Fax

(903) 657-6067

NPI assigned

Jun 7, 2006

Last updated

Mar 4, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Christus Good Shepherd Medical CenterGroup PAC ID 3779565544, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus Good Shepherd Medical Center Hospital, Longview, TX, CCN 450032

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Christus Good Shepherd Medical Center

  • Anesthesiology Physician
  • Marshall, TX
  • NPI 1760908404

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Christus Good Shepherd Medical Center

  • General Acute Care Hospital
  • Longview, TX
  • NPI 1124092036
  NPD
• Anesthesia Consultants

  • Certified Registered Nurse Anesthetist
  • Longview, TX
  • NPI 1538464748

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Regional Employee Assistance Program Inc

  • Cardiovascular Disease Physician
  • Abilene, TX
  • NPI 1073575585
  NPD (past)
• Regional Employee Assistance Program Inc

  • Family Medicine Physician
  • Corsicana, TX
  • NPI 1649232984
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Christus Good Shepherd Medical Center

  • General Acute Care Hospital
  • Longview, TX
  • NPI 1124092036
  Care Compare affiliation

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236124800000",
    "number": "1821038019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2527",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756062527",
            "telephone_number": "903-655-1313",
            "fax_number": "903-657-6067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 JUDSON RD",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756065113",
            "telephone_number": "903-655-1313",
            "fax_number": "903-657-6067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLADAY",
        "first_name": "LEE",
        "middle_name": "ALLEN",
        "credential": "C.R.N.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2009-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "50892",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "613235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143839202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Thomas Hoffmann, MD
• Lindsey Hohlt
• Marvin B Holcomb, MD
• Brittany Holder
• Stacey Holder, MD
• Richard Lee Holladay, C.R.N.A.
• Emily Hazel Holloway
• David Randall Holman, RPH
• Sonya Holman, RPH
• Todd Read Holman, M.D.

• Certified Registered Nurse Anesthetist in Longview, TX
• Providers in Longview, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.