Marla Holman, RN

Primary specialty

Gerontology Registered NurseTaxonomy code 163WG0600X

License

041.310079 Issued in IL

Practice address

1400 Brookdale Rd
Naperville, IL 60563-2125

Phone

(630) 416-6565

Fax

(630) 548-6443

NPI assigned

Jul 30, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1952074213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 BROOKDALE RD",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605632125",
            "telephone_number": "630-416-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BROOKDALE RD",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605632125",
            "telephone_number": "630-416-6565",
            "fax_number": "630-548-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMAN",
        "first_name": "MARLA",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "IL",
            "license": "041.310079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Holbrook, PT
• J Steven Holcomb, D.C.
• Holistic Acuclinic LLC
• Holistic Chiropractic & Healing Arts Center
• Deanna L Holleman-Duray, MD
• Mollie Elana Holman, MSW
• Julia Holmes
• Mary Holmes
• Morgan Elizabeth Holt, PA-C
• Elizabeth Ruth Holtz, M.SL

• Gerontology Registered Nurse in Naperville, IL
• Providers in Naperville, IL by specialty
• Gerontology Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.