Active NPI
Heidi Holland
- Family Nurse Practitioner
- Palm Beach Gardens, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11005887
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.Medical Specialists of the Palm Beaches Inc
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
- Good Samaritan Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amir Fahmy MD PA | Current | Accepting new patients | |
| Medical Specialists of the Palm Beaches Inc | Current | Accepting new patients | |
| Independent Multispecialty Group of Florida LLC | Current | Accepting new patients | |
| Medical Specialists of the Palm Beaches Inc | Current | 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
- heidi.holland.1@11933.direct.athenahealth.com
- 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.
-
- Internal Medicine Physician
- Palm Springs, FL
- NPI 1386687580
FL
-
- Hematology & Oncology Physician
- Wellington, FL
- NPI 1003859208
-
- Internal Medicine Physician
- Boynton Beach, FL
- NPI 1740343615
-
- Internal Medicine Physician
- Boynton Beach, FL
- NPI 1851334056
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Palm Beach, FL
- NPI 1770515991
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.