Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Holly Vannitamby, DO

Internal Medicine Physician in Peoria, IL · enumerated 2017 · practices at Cardinal Medical Group, Ltd..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053831214

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Registry record

Entity type Individual (Type 1)

Name Holly Vannitamby

Credential DO

Sex Female

Practice address 6339 N Big Hollow Rd, Peoria, IL, 61615

Phone (309) 693-3315

Fax (309) 693-9385

Enumeration date Jun 20, 2017

Last updated in NPPES Jul 27, 2020

Taxonomy & licenses

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 036150954 (IL) Primary

DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

Other identifiers

Identifier	Type	State	Issuer
125.071177	Other	-	LICENSE
036.150954	Medicaid	IL	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How do I verify Holly Vannitamby's NPI record?

Cross-check NPI 1053831214 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1053831214 active?

Yes, as of the latest NPPES snapshot, NPI 1053831214 is active (record last updated 2020-07-27).

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Allen Neese Pediatrics Physician · Peoria, IL NPI 1841261872 Leslie Johnson Family Medicine Physician · Peoria, IL NPI 1336111897 Heather Mccarthy Pediatrics Physician · Peoria, IL NPI 1306819289 Mary Harvey Pediatrics Physician · Peoria, IL NPI 1215037890 Henry San German Family Medicine Physician · Peoria, IL NPI 1205928397 Cardinal Medical Group, Ltd. Multi-Specialty Clinic/Center · Peoria, IL NPI 1992829485 Amanda Lahood Family Nurse Practitioner · Peoria, IL NPI 1356826309 Audra Storm Family Medicine Physician · Peoria, IL NPI 1730767419

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-07-27.