Holly Ann Allred, FNP
Individual provider Active NPI Family Nurse Practitioner · Prescott Valley, AZ
NPI 1013522267 · NPPES record last updated Sep 14, 2020
Key facts
- NPI
- 1013522267
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 244746 (AZ)
- Practice address
- 6386 E Ashton PL
Prescott Valley, AZ 86314-4253 - Phone
- (928) 533-3971
- NPI assigned
- Sep 14, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Yavapai Primary Care
Practice addresses (Care Compare)
3075 N Windsong Dr
Suite B1
Prescott Valley, AZ 86314-1208
Phone (928) 535-0878
Hospital & facility affiliations
- Nurses Network by Quality Home Health Care
- Haven Home Health Care
- Mountain Valley Home for Health
- Yavapai Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201116001649 | AZ | Practitioner - Nurse Practitioner | 5597176917 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 244746 | AZ | MD | Family Nurse Practitioner |
Practice roles (1 of 2)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yavapai Primary Care | Current |
Accepting new patients |
Locations
3075 N Windsong Dr
Ste A
Prescott Vly, AZ 86314
Phone (405) 819-2163
3075 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 350-8780
Networks
- NM HMO C-SNP
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FAGACD/Endpoint/FAGACD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 244746 | AZ | Yes |
Addresses
Primary practice location
6386 E Ashton PL
Prescott Valley, AZ 86314-4253
Mailing address
6386 E Ashton PL
Prescott Valley, AZ 86314-4253
Phone (928) 533-3971
Other providers in Prescott Valley, AZ
- Heidi S Alessi
- John R Alessi
- Karen Alexander
- Francis Allen
- Alliance Healthcare Services Inc
- Jennifer Marie Almendarez
- Michael Eugene Alquist
- Ambient Healthcare, PLLC
- Meagan Sue Anderson
- Angels on Duty
All providers in Prescott Valley, AZ · Family Nurse Practitioner in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.