MRS. HEATHER BROOM HOLDINESS APRN NPI 1053744391

NPI Information

NPI: 1053744391
Provider Name: MRS. HEATHER BROOM HOLDINESS, APRN
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: CHI ST VINCENT MEDICAL GROUP HOT SPRINGS

PECOS Registration: Yes

Address:
903 DESOTO BLVD
HOT SPRINGS VILLAGE, AR
ZIP 71909
Phone: (501) 922-6266
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MRS. Heather Broom Holdiness, APRN is an adult health nurse practitioner in Hot Springs Village, AR with 11 years of experience. MRS. Heather Broom Holdiness, APRN NPI is 1053744391. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduation Year:2013

The provider's business location address is:

903 DESOTO BLVD
HOT SPRINGS VILLAGE, AR
ZIP 71909-100
Phone: (501) 922-6266
Fax: (501) 922-8122

The NPI 1053744391 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/9/2013 and was last updated on 4/15/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	A004582	ARKANSAS	No
2	363LA2200X	Nurse Practitioner	Adult Health	A004582	ARKANSAS	Yes
3	363LG0600X	Nurse Practitioner	Gerontology	A004582	ARKANSAS	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	06336908	MEDICAID	MISSISSIPPI
2	212780758	MEDICAID	ARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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