Active NPI
Jessica Holland
- Registered Dietitian
- Sitka, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 318
- Practice address
- 222 Tongass Dr
Sitka, AK 99835-9416 - Phone
- (907) 966-2411
- NPI assigned
- Oct 22, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 318 | AK | Primary |
Addresses
Primary practice location
222 Tongass Dr
Sitka, AK 99835-9416
Mailing address
PO Box 240252
Anchorage, AK 99524-0252
Phone (907) 917-0818
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160509000690 | TX | Practitioner - Registered Dietitian Or Nutrition Professional | 3173822418 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 318 | AK | MD | Registered Dietitian |
Practice roles (9 of 11)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Alaska Regional Health Consortium | Current | Accepting new patients | |
| Southeast Alaska Regional Health Consortium | Current | Accepting new patients | |
| Southeast Alaska Regional Health Consortium | Current | Accepting new patients | |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
| South East Alaska Regional Health Consortium | Past | Accepting new patients | |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| South East Alaska Regional Health Consortium | Past | Accepting new patients | |
| Southeast Alaska Regional Health Consortium | Past | Accepting new patients | |
| South East Alaska Regional Health Consortium | Past | Accepting new patients |
Locations
37 Chilkat Ave
Haines, AK 99827
Phone (907) 463-4040
3260 Hospital Dr
Juneau, AK 99801
Phone (907) 796-8427
3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000
2000 Salmon Creek Ln
Juneau, AK 99801
Phone (907) 463-8700
222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423
Networks
- TX HMO
- TX HMO D-SNP
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Yakutat, AK
- NPI 1033323605
-
- Clinic/Center
- Juneau, AK
- NPI 1427941343
-
- Clinic/Center
- Hydaburg, AK
- NPI 1073728168
-
- Clinic/Center
- Wrangel, AK
- NPI 1487836391
-
- Clinic/Center
- Kasaan, AK
- NPI 1962616821
-
- Critical Access Hospital
- Sitka, AK
- NPI 1720062524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658102400000",
"number": "1003244435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 240252",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995240252",
"telephone_number": "907-917-0818",
"fax_number": "907-339-4858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 TONGASS DR",
"city": "SITKA",
"state": "AK",
"postal_code": "998359416",
"telephone_number": "907-966-2411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-22",
"last_updated": "2022-07-18",
"certification_date": "2022-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AK",
"license": "318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sitka, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.