Holly Lyn Scrivner

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

160005266 Issued in IL

Practice address

872 W Dayton St
Galesburg, IL 61401-1503

Phone

(309) 344-3400

NPI assigned

Aug 21, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1313884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313884800000",
    "number": "1881974913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 GARDEN LN",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614012127",
            "telephone_number": "309-368-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "872 W DAYTON ST",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614011503",
            "telephone_number": "309-344-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCRIVNER",
        "first_name": "HOLLY",
        "middle_name": "LYN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-21",
        "last_updated": "2011-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": "160005266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Schisler-Davis, QMHP
• Sandra L Schisler, RN
• Julie Schrader, MA
• Amanda Lyn Schulenberg, MS, CCC-SLP
• Jane Cecile Schwab, CRNFA
• Hillary Searles, NP
• Matthew Robert Sehring, D.O.
• Seminary Manor
• Shana M Sewick, MS, LAT, ATC
• Salha Sabeeha Shajahan, MD

• Medical Specialty Clinic/Center in Galesburg, IL
• Providers in Galesburg, IL by specialty
• Medical Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2011; 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.