JANELLE RAE HOLLINGSWORTH RN MSN BC-FNP NPI 1205828670

NPI Information

NPI: 1205828670
Provider Name: JANELLE RAE HOLLINGSWORTH, RN MSN BC-FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: SUMMIT SKIN CARE INCORPORATED

PECOS Registration: Yes

Address:
1741 NE DOUGLAS ST
STE 200 ENCOMPASS- LEE'S SUMMIT OFFICE
LEES SUMMIT, MO
ZIP 64086
Phone: (816) 246-0200
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Janelle Rae Hollingsworth, RN MSN BC-FNP is a family nurse practitioner in Lees Summit, MO with 24 years of experience. Janelle Rae Hollingsworth, RN MSN BC-FNP NPI is 1205828670. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduation Year:2000

The provider's business location address is:

1741 NE DOUGLAS ST
STE 200 ENCOMPASS- LEE'S SUMMIT OFFICE
LEES SUMMIT, MO
ZIP 64086-703
Phone: (816) 246-0200
Fax: (913) 495-3730

The NPI 1205828670 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/22/2005 and was last updated on 5/24/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	146402	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	P37599	MEDICARE UPIN
2	K67000035	MEDICARE PIN	MISSOURI
3	425829900	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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