Individual provider Active NPI

Hollie Ann Hall, ARNP-C

  • Family Nurse Practitioner
  • Manhattan, KS
National Provider Identifier
1962797589
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1105844 Issued in TX
Practice address
200 Research Dr
Manhattan, KS 66503-3049
Phone
(785) 539-4644
Fax
(785) 539-8010
NPI assigned
Jun 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 53-75376-102 KS
Family Nurse Practitioner 363LF0000X 1105844 TX Primary

Addresses

Primary practice location

200 Research Dr
Manhattan, KS 66503-3049

Mailing address

200 Research Dr
Manhattan, KS 66503-3049
Phone (785) 539-4644

Other identifiers 2

IdentifierTypeStateIssuer
200748830AMedicaidKS
111354008OtherMEDICARE

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
53-75376-102KSMDNurse Practitioner
1105844TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mochi Medical Ca PC Past Accepting new patients
Saint Francis Medical Center Nurse Practitioner Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: hollie.hall@khindirect.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1307750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1962797589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 RESEARCH DR",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665033049",
            "telephone_number": "785-539-4644",
            "fax_number": "785-539-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 RESEARCH DR",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665033049",
            "telephone_number": "785-539-4644",
            "fax_number": "785-539-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "HOLLIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "ARNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-11",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-75376-102",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1105844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200748830A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "111354008",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.