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Active NPI 1477972768 Individual Practitioner Female Practitioner

Holly Anne Haines , PA-C, RDN

Physician Assistant • Wright Patterson Afb, OH

Professional Overview & Biography Verified Profile Summary

Holly Haines, PA-C, RDN is a registered healthcare professional specializing in Physician Assistant in Wright Patterson Afb, OH. Practice services are available at 4881 SUGAR MAPLE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4881 Sugar Maple Dr

Wright Patterson Afb, OH 454335529

Telephone 9375222778
Associated Practice Facility / Clinic
🏢 United States Air Force Facility NPI 1407842347

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Wright Patterson Afb, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
22 Specialists

Practicing in Wright Patterson Afb, OH (5376 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-04-01
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License None 1220046

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Dietitian, Registered

NUCC Taxonomy Code: 133V00000X

State License ID 1079535

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

29 Associated Practitioners
Dr. Jason Ross , DO

Family Medicine

NPI 1013541069

Doctor of Osteopathic Medicine (D.O.)

NPI 1043712359

Doctor of Medicine (M.D.)

Dr. Raymond Mrozek , MD

Internal Medicine

NPI 1093309445

Doctor of Medicine (M.D.)

NPI 1104387950

Doctor of Osteopathic Medicine (D.O.)

Alex Krehbiel

Student in an Organized Health Care Education/Training Program

NPI 1164360079
NPI 1184128795

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Business Mailing Address April 01, 2024

Registered at 4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 454335529 (Tel: 3792570402)

📍
Updated Practice Location March 04, 2024

Registered at 4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 454335529 (Tel: 9375222778)

📍
Updated Business Mailing Address March 04, 2024

Registered at 1706 S 80TH ST, OMAHA, NE 681241456 (Tel: 4026908040)

👤
Provider Name / Credentials Updated March 04, 2024

Recorded as HOLLY HAINES, PA-C, RDN

NPI Profile Active April 15, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location April 15, 2014

Registered at 115 W MAIN ST, SUITE 203, BOISE, ID 837027302 (Tel: 2083818330)

📍
Updated Business Mailing Address April 15, 2014

Registered at 8531 OPAL LOOP, UNIT B, MOUNTAIN HOME AFB, ID 836485012 (Tel: 4023014240)

👤
Provider Name / Credentials Updated April 15, 2014

Recorded as HOLLY PIATT, RDN, LD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2014

Dietitian, Registered (License #1079535 in ID)

🟢
Initial NPI Registration & Enumeration April 15, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477972768
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 15, 2014
Last Update: April 01, 2024
Sole Proprietor: No

Mailing Address

4881 Sugar Maple Dr

Wright Patterson Afb, OH 454335529

Phone: 3792570402

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.