Holli-Starr, Inc

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

6906454 Issued in FL

Legal business name

HOLLI-STARR, INC

Practice address

3075 Partridge Dr
Pensacola, FL 32526-3607

Phone

(850) 384-7656

NPI assigned

Feb 24, 2014

Last updated

Feb 24, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John Valenzuela EstaresNPI 1659772044

Title

Adminstrator

Phone

(850) 384-7656

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John V Estares

  • Contractor
  • Pensacola, FL
  • NPI 1659772044
  NPD (past) Authorized official

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

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393200000000",
    "number": "1033534326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 PARTRIDGE DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325263607",
            "telephone_number": "850-384-7656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 PARTRIDGE DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325263607",
            "telephone_number": "850-384-7656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLI-STARR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-24",
        "last_updated": "2014-02-24",
        "status": "A",
        "authorized_official_last_name": "ESTARES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "VALENZUELA",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "850-384-7656",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "FL",
            "license": "6906454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003088100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monnicque Gabreille Holland, RN BSN
• Rebekah Holland, FNP-C
• Jennifer Theresa Holler, LCSW
• Holly Denise Holley-Harrison, APRN
• Dennis L Holley, R.PH.
• Matthew T Hollimon, PHD
• Jessica Hollingsworth, APRN
• Stephanie McDearman Hollingsworth, R.D., L.D., CDE
• Minoo H Hollis, MD
• John M Holm, SOCIAL WORKER

• Exclusive Provider Organization in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Exclusive Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.