Individual provider Active NPI

Heidi Holland

  • Family Nurse Practitioner
  • Palm Beach Gardens, FL
National Provider Identifier
1023629326
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11005887 Issued in FL
Practice address
3345 Burns Rd Ste 204
Palm Beach Gardens, FL 33410-4306
Phone
(561) 622-7604
NPI assigned
Aug 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11005887 FL Primary

Addresses

Primary practice location

3345 Burns Rd Ste 204
Palm Beach Gardens, FL 33410-4306

Mailing address

3345 Burns Rd Ste 204
Palm Beach Gardens, FL 33410-4306
Phone (561) 622-7604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210201000226 FL Practitioner - Nurse Practitioner 9830503960 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Independent Multispecialty Group of Florida LLC.Group PAC ID 9638429731, 24 clinicians
Medical Specialists of the Palm Beaches IncGroup PAC ID 0244143758, 118 clinicians

Practice addresses (Care Compare)

10101 Forest Hill Blvd
Wellington, FL 33414-6103
Phone (561) 877-3920

3345 Burns Rd
Suite 204
Palm Beach Gardens, FL 33410-4306
Phone (561) 622-7604

Hospital & facility affiliations

  • Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253
  • Good Samaritan Medical Center Hospital, West Palm Beach, FL, CCN 100287

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amir Fahmy MD PA CurrentSince Aug 15, 2022 Accepting new patients
Medical Specialists of the Palm Beaches Inc CurrentSince May 27, 2024 Accepting new patients
Independent Multispecialty Group of Florida LLC CurrentSince Jun 1, 2025 Accepting new patients
Medical Specialists of the Palm Beaches Inc CurrentSince May 27, 2024 Accepting new patients
Medical Specialists of the Palm Beaches Inc Past Accepting new patients
Medical Specialists of the Palm Beaches Inc Past Accepting new patients

Locations

3345 Burns Rd
Ste 204
Palm Beach Gardens, FL 33410
Phone (561) 622-7604

851 N US Highway 1
Tequesta, FL 33469
Phone (561) 743-8362

1447 Medical Park Blvd
Ste 405
Wellington, FL 33414
Phone (561) 767-8342

10101 Forest Hill Blvd
West Palm Beach, FL 33414
Phone (561) 766-1301

Interoperability endpoints

  • Direct secure messaging: heidi.holland.1@11933.direct.athenahealth.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1023629326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 BURNS RD STE 204",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104306",
            "telephone_number": "561-622-7604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 BURNS RD STE 204",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104306",
            "telephone_number": "561-622-7604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "HEIDI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-11",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11005887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.