SHAWN HOLLOWAY (NPI# 1699192674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699192674 |
| Entity Type | Individual |
| Full Name | SHAWN HOLLOWAY |
| Gender | Male |
| Credential | FNP |
| Practice Address | 3142 Horizon Rd Ste 209 Rockwall TX 75032-7802 |
| Practice Telephone | 9727712018 |
| Practice Fax Number | 9727724654 |
| Mailing Address | 3142 Horizon Rd Ste 209 Rockwall TX 75032-7802 |
| Mailing Telephone | 9727712018 |
| Mailing Fax Number | 9727724654 |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2019-09-09 |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner Specialization: Family | 625999 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194004002 | Shawn Holloway | 1021 4th St, Taft, CA 93268-2433 | 2011-08-09 |
| PECOS Associate Control (PAC) ID | 3173749413 by Medicare Provider Enrollment and Chain/Ownership System (PECOS) |
| Professional Enrollment ID | I20140723001339 |
| Last Name | HOLLOWAY |
| First Name | SHAWN |
| Middle Name | M |
| Organization Legal Name | TEXAS HEALTH PHYSICIANS GROUP |
| Location | 3150 Horizon Rd, Rockwall, TX 75032-7805 |
| Phone Number | 4696981000 |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4385535954 |
| Number of Group Practice Members | 1007 |
| Street Address | 3142 HORIZON RD STE 209 |
| City | ROCKWALL |
| State | TX |
| Zip Code | 75032-7802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104130426 | Brenda Wallace | Physician Assistant | 3142 Horizon Rd Ste 209, Rockwall, TX 75032-7802 | 2010-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083201214 | Hala Alzinati | Behavior Technician | 5133 Fm S 549, Rockwall, TX 75032 | 2020-12-22 |
| 1780291229 | Alexandra Messer | Nurse Practitioner · Pediatrics | 6435 S Farm To Market, #201, Heath, TX 75032 | 2020-09-29 |
| 1720649338 | Randalls Food & Drugs Lp · Tom Thumb Pharmacy #3099 | Durable Medical Equipment & Medical Supplies | 551 Laurence Dr, Health, TX 75032 | 2019-06-25 |
| 1346725579 | Arc 32 Family Dentistry | Dentist · General Practice | 4 Horizon Court Suite 400, Heath, TX 75032 | 2018-10-03 |
| 1275039257 | Karina Bartz Dds Pllc · Kb Dental | Dentist · General Practice | 110 Smirl Drive, Suite 101, Heath, TX 75032 | 2018-03-30 |
| 1861994337 | Lumin Health Physician Group, Pa · Spinecare Institute, Pa | Pain Medicine · Pain Medicine | 4450 Tubbs Road, Rockwall, TX 75032 | 2018-03-01 |
| 1871002816 | Aurentz Family Dental | Clinic/Center · Dental | 3140 Horizon Rd Suite 103, Rockwall, TX 75032 | 2017-09-21 |
| 1902200199 | Cvs Pharmacy Inc · Cvs Pharmacy #10562 | Durable Medical Equipment & Medical Supplies | 4282 Ridge Rd, Heath, TX 75032 | 2014-10-16 |
| 1962744714 | Yongrui Luan | Pediatrics | 1005 W Ralph Hall Pkwy Ste 135, Rockwall, TX 75032 | 2013-03-20 |
| 1558608679 | Nikalaus Loyd Laymon | Massage Therapist | 860 Ralph Hall Pkwy, #46, Rockwall, TX 75032 | 2013-01-09 |
| Find all providers in zip 75032 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come… |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467091611 | Elsa Varughese | 414 Garrett Dr, Rockwall, TX 75087 | 2020-01-04 | |
| 1942862651 | Eva Elaine Schauer | 2551 Abbey Ct, Rockwall, TX 75032-7368 | 2019-07-02 | |
| 1093273260 | Tara Seifert | 3070 Deer Ridge Dr, Rockwall, TX 75032-9284 | 2019-03-06 | |
| 1265905764 | Luam Mekonnen Tekle | 401 W Rusk St Ste 100, Rockwall, TX 75087-3606 | 2019-01-07 | |
| 1295232924 | Monde Mwiya Ferguson | 3919 Poplar Point Dr, Rockwall, TX 75032-9276 | 2018-04-09 | |
| 1609379403 | Betty Michelle Williams | 6800 Heritage Pkwy Ste 201, Rockwall, TX 75087-8746 | 2018-03-18 | |
| 1588163885 | January Lauren Green · January Lauren Gentry | 6800 Heritage Parkway, Suite 201, Rockwall, TX 75087 | 2018-02-02 | |
| 1619069184 | Kelli D Whitehead | 2004 N Goliad St, Rockwall, TX 75087-7317 | 2006-09-29 | |
| 1447268750 | Lara Christian Lovell | 1207 Arista Drive, Suite 103, Rockwall, TX 75032 | 2006-08-03 | |
| 1265424691 | Annie Abraham | 102 S 1st St Ste B, Rockwall, TX 75087-3793 | 2005-08-22 | |
| Find all providers in ROCKWALL | ||||
| City | ROCKWALL |
| Zip Code | 75032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942754635 | Richard Dawson Holloway IIi · Ricky Holloway | Nurse Practitioner | 1068 Cresthaven Rd, Memphis, TN 38119-0800 | 2016-08-10 |
| 1235297581 | Aaron Holloway · Holloway Rehabilitation and Pai | Specialist | 15622 Sw 105th Ave, Miami, FL 33157-1411 | 2006-12-05 |
| 1194764258 | Holloway Volunteer Fire Department, Inc | Ambulance | 108 W. Main St, Holloway, OH 43985 | 2006-06-05 |
| 1053901371 | Sacorya Holloway L Holloway | Clinic/Center · Family Planning, Non-Surgical | 1025 E 39th St, Savannah, GA 31401-9418 | 2021-01-20 |
| 1548378615 | Kim Holloway · Kim Holloway | Nurse Anesthetist, Certified Registered | 159 Kercheval Ave, Grosse Pointe, MI 48236 | 2006-08-28 |
| 1952464489 | Marjan G Holloway · Marjan Ghahramanlou Holloway | Psychologist · Clinical | 4301 Jones Bridge Rd Rm B3050, Bethesda, MD 20814-4712 | 2006-12-18 |
| 1528028875 | John Holcombe Holloway IIi · John H Holloway | Family Medicine | 101 Payne Rd, American Family Care Inc, Gardendale, AL 35071 | 2006-03-23 |
| 1699751735 | Alison S Holloway · Alison Sennello Holloway | Family Medicine | 1275 E Belvidere Rd, Suite 250, Grayslake, IL 60030 | 2005-12-20 |
| 1821438250 | Beth Mumford Holloway · Beth Colleen Holloway | Counselor · Mental Health | 308 W Millbrook Rd, Suite A, Raleigh, NC 27609-4574 | 2013-06-29 |
| 1750300760 | David H. Holloway Jr. · David H Holloway Jr. | Internal Medicine · Cardiovascular Disease | 8060 Wolf River Blvd, Memphis, TN 38138-1727 | 2006-07-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.