1. Home
  2. Directory
  3. Arkansas
  4. Jonesboro
  5. Specialist
  6. NPI Profile

HOLLY ICHIDA
NPI 1417699430
Specialist in Jonesboro, AR

Active since April 11, 2022
3117 SISTINE CHAPEL CIR, JONESBORO, AR 72404(614) 432-9803 Get Directions Write a Review

NPPES record last updated: February 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Holly Ichida NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLLY ICHIDA (NPI 1417699430) is an individual specialist in Jonesboro, Arkansas and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1417699430
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameHOLLY ICHIDA
Location Address3117 SISTINE CHAPEL CIRJonesboro, AR 72404-7959
Mailing Address3117 Sistine Chapel CirJonesboro, AR 72404-7959 · (614) 432-9803
Phone(614) 432-9803
Sole ProprietorYes
Enumeration DateApril 11, 2022
Last NPPES UpdateFebruary 23, 2024
NPPES CertifiedFebruary 23, 2024
✔ NPI 1417699430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedHealth and Wellness CoachTaxonomy 171400000X
3117 SISTINE CHAPEL CIR, Jonesboro, AR 72404
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holly Ichida's NPI number?

The NPI number for Holly Ichida is 1417699430. It was assigned to this individual provider in the NPPES registry on April 11, 2022.

Where is Holly Ichida located?

Holly Ichida practices at 3117 Sistine Chapel Cir, Jonesboro, AR 72404. The listed phone number is (614) 432-9803.

What is Holly Ichida's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Holly Ichida was last updated on February 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.