Camilla Earlene Hollen, MMS, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0110002830 Issued in VA

Practice address

1057 Martinsburg Pike
Winchester, VA 22603-5409

Phone

(540) 665-3299

NPI assigned

Sep 15, 2008

Last updated

Jul 26, 2016By the provider in NPPES

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 identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Asthma & Allergy Center of the Northern Shenandoah Valley, Inc.

  • Allergy & Immunology Physician
  • Winchester, VA
  • NPI 1114937620
  NPD (past)
• Dermatology Associates Inc

  • Dermatology Physician
  • Winchester, VA
  • NPI 1336140623
  NPD (past)

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469491200000",
    "number": "1871742825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 N SECTOR CT",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012859",
            "telephone_number": "540-542-6208",
            "fax_number": "540-542-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 MARTINSBURG PIKE",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226035409",
            "telephone_number": "540-665-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLEN",
        "first_name": "CAMILLA",
        "middle_name": "EARLENE",
        "credential": "MMS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-15",
        "last_updated": "2016-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110002830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871742825",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00765854",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Michelle Hoffmaster
• Susan Hohm
• Lillie Rose Hollands
• Audrey Willette Hollar, RN,CLNC
• Milo Suede Holle
• Dale Crawford Holly, MD
• Candice Lacole Holmes
• Kimberly Dawn Holmes, FNP-C
• Tara E Holmes, ANP
• Tracy Holsinger, RN

• Medical Physician Assistant in Winchester, VA
• Providers in Winchester, VA by specialty
• Medical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.