Individual provider Active NPI

Kurt Adam Holifield, FNP-C

  • Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1033819461
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
288493 Issued in AZ
Practice address
6320 W Union Hills Dr Ste 140
Glendale, AZ 85308-7172
Phone
(480) 347-0844
Fax
(480) 347-0885
NPI assigned
Mar 6, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 288493 AZ Primary

Addresses

Primary practice location

6320 W Union Hills Dr Ste 140
Glendale, AZ 85308-7172

Mailing address

6320 W Union Hills Dr Ste 140
Glendale, AZ 85308-7172
Phone (480) 347-0844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20240313002465 AZ Practitioner - Nurse Practitioner 0749625325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berman Medical Consulting PCGroup PAC ID 8820027352, 8 clinicians

Practice addresses (Care Compare)

6320 W Union Hills Dr
Building a Suite 140
Glendale, AZ 85308-1061
Phone (480) 347-0844

Hospital & facility affiliations

  • Inspiring Home Health, LLC Home health agency, Phoenix, AZ, CCN 037489
  • Abrazo Arrowhead Hospital Hospital, Glendale, AZ, CCN 030094

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
288493AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Berman Medical Consulting, PC CurrentSince Feb 27, 2024 Accepting new patients

Locations

6320 W Union Hills Dr
Ste 140
Glendale, AZ 85308
Phone (480) 347-0844

6501 E Greenway Pkwy
Ste 103
Scottsdale, AZ 85254
Phone (602) 494-5015

14642 N Del Webb Blvd
Ste 200
Sun City, AZ 85351
Phone (480) 347-0844

Organizations & group practices 1

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 3

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": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1033819461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 W UNION HILLS DR STE 140",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087172",
            "telephone_number": "480-347-0844",
            "fax_number": "480-347-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 W UNION HILLS DR STE 140",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087172",
            "telephone_number": "480-347-0844",
            "fax_number": "480-347-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLIFIELD",
        "first_name": "KURT",
        "middle_name": "ADAM",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-06",
        "last_updated": "2024-03-21",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "288493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.