STACEY MICHELLE SKILLMAN HOLTGRAVE
NPI 1629867650
Student in an Organized Health Care Education/Training Program in Edwardsville, IL

Active since May 05, 2025
1 HAIRPIN DRIVE, EDWARDSVILLE, IL 62026(618) 650-3956 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stacey Michelle Skillman Holtgrave NPPES

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

STACEY MICHELLE SKILLMAN HOLTGRAVE (NPI 1629867650) is an individual student in an organized health care education/training program in Edwardsville, Illinois and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1629867650
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSTACEY MICHELLE SKILLMAN HOLTGRAVE
Location Address1 HAIRPIN DRIVEEdwardsville, IL 62026-0001
Mailing Address1 Hairpin DriveEdwardsville, IL 62026-0001
Sole ProprietorNo
Enumeration DateMay 5, 2025
NPPES CertifiedMay 5, 2025
NPI 1629867650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1 HAIRPIN DRIVE, Edwardsville, IL 62026

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1 HAIRPIN DRIVE
EDWARDSVILLE, IL 62026
Student in an Organized Health Care Education/Training Program
1 HAIRPIN DRIVE
EDWARDSVILLE, IL 62026
Nurse Practitioner (Family)
1 HAIRPIN DRIVE
EDWARDSVILLE, IL 62026
Student in an Organized Health Care Education/Training Program
1 HAIRPIN DRIVE
EDWARDSVILLE, IL 62026
Student in an Organized Health Care Education/Training Program
1 HAIRPIN DRIVE
EDWARDSVILLE, IL 62026
Student in an Organized Health Care Education/Training Program
1 HAIRPIN DRIVE
EDWARDSVILLE, IL 62026
Registered Nurse
1 HAIRPIN DRIVE
EDWARDSVILLE, IL 62026
Nurse Practitioner
1 HAIRPIN DRIVE
EDWARDSVILLE, IL 62026

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 Stacey Skillman Holtgrave's NPI number?

The NPI number for Stacey Skillman Holtgrave is 1629867650. It was assigned to this individual provider in the NPPES registry on May 5, 2025.

Where is Stacey Skillman Holtgrave located?

Stacey Skillman Holtgrave practices at 1 Hairpin Drive, Edwardsville, IL 62026. The listed phone number is (618) 650-3956.

What is Stacey Skillman Holtgrave's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Stacey Skillman Holtgrave was last updated on May 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.