Vickie Gaylin Holland, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R0032046 Issued in OK

Practice address

1011 Honor Heights Dr.
Muskogee, OK 74401-1318

Phone

(918) 683-3261

Fax

(918) 680-3664

NPI assigned

Jul 17, 2006

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 1

Other names 1

• Miss Vickie Gaylin Prater Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1982622965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 E. JOSEPH LANE",
            "city": "FORT GIBSON",
            "state": "OK",
            "postal_code": "744348314",
            "telephone_number": "918-478-3045",
            "fax_number": "918-478-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 HONOR HEIGHTS DR.",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744011318",
            "telephone_number": "918-683-3261",
            "fax_number": "918-680-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "VICKIE",
        "middle_name": "GAYLIN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0032046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "ROO32046",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICKIE",
            "last_name": "PRATER",
            "middle_name": "GAYLIN",
            "prefix": "MISS",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Justin Warren Hogle, O.D.
• Tavry Lynn Hohner
• Tarah Leann Holcomb
• Russell Holder, PA
• Jackie Holland
• Landon Holman
• Chelsea Holmes, OTA
• Dennis Holmes
• Hometown Hospice, LLC
• Honor Thy Smile, PLLC

• Family Nurse Practitioner in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.