AMY REBECCA HOLLAND RN CPNP NPI 1316090202

NPI Information

NPI: 1316090202
Provider Name: AMY REBECCA HOLLAND, RN, CPNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
1935 MEDICAL DISTRICT DR
DALLAS, TX
ZIP 75235
Phone: (214) 456-5769
Get Directions

Amy Rebecca Holland, RN, CPNP is a pediatrics nurse practitioner in Dallas, TX. Amy Rebecca Holland, RN, CPNP NPI is 1316090202. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1935 MEDICAL DISTRICT DR
DALLAS, TX
ZIP 75235-701
Phone: (214) 456-5769
Fax: (214) 456-5071

The NPI 1316090202 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 1/22/2007 and was last updated on 5/8/2012.

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	363LP0200X	Nurse Practitioner	Pediatrics	RN104466-AP04195	LOUISIANA	No
2	363LP0200X	Nurse Practitioner	Pediatrics	713158	TEXAS	Yes

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
1	2152815	MEDICAID	LOUISIANA
2	Q46650	MEDICARE UPIN	TEXAS
3	1450278	MEDICAID	LOUISIANA
4	1163244	MEDICAID	LOUISIANA
5	1188522	MEDICAID	LOUISIANA
6	3B847CH71	MEDICARE PIN	LOUISIANA
7	3B847	MEDICARE PIN	LOUISIANA

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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