| NPI | 1063991206 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2018-08-08 |
| Last Updated | 2026-02-04 |
| Mailing Address | Po Box 3988 Carbondale, IL 62902-3988 United States Phone: (618) 457-5200 📍 View Map |
| Primary Practice Address | 203 Bailey Ln Ste 1 Benton, IL 62812-2266 United States Phone: (618) 438-5670 | Fax: (618) 438-5709 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 363L00000X – Nurse Practitioner | IL | 277001378 |
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About NPI 1063991206
Holly Ann Gates NP is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1063991206. The primary specialty listed is Nurse Practitioner. The provider is located in Benton, IL. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2018-08-08. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1063991206?
NPI 1063991206 belongs to Holly Ann Gates NP, a Nurse Practitioner in Benton, IL. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1063991206 active?
The current status of NPI 1063991206 in the NPPES registry is Active. The record was last updated on 2026-02-04.
What specialty is NPI 1063991206?
NPI 1063991206 is classified under the taxonomy Nurse Practitioner. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1063991206?
You can verify NPI 1063991206 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1063991206?
The primary practice address on file for NPI 1063991206 is 203 Bailey Ln Ste 1, Benton, IL 62812-2266. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1063991206 issued?
NPI 1063991206 was first issued (enumerated) on 2018-08-08. The NPPES record was last updated on 2026-02-04.
Practice Location Map
Holly Ann Gates is located at 203 Bailey Ln Ste 1, Benton, IL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Holly Ann Gates. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1063991206. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Nurse Practitioner | 277001378 | IL |