Active NPI
Tessiny Iriarte Holliday, FNP-C
- Family Medicine Physician
- Lancaster, CA
National Provider Identifier
1053773754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 95003939
- Practice address
- 45104 10TH St W
Lancaster, CA 93534-2310 - Phone
- (661) 942-2391
- NPI assigned
- Mar 22, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 95003939 | CA | |
| Family Medicine Physician | 207Q00000X | 95003939 | CA | Primary |
Addresses
Primary practice location
45104 10TH St W
Lancaster, CA 93534-2310
Mailing address
45104 10TH St W
Lancaster, CA 93534-2310
Phone (661) 942-2391
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95003939 | CA | MD | Family Medicine Physician |
Interoperability endpoints
- tessiny.hollidaynp.p1@direct.jwch.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610668800000",
"number": "1053773754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45104 10TH ST W",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935342310",
"telephone_number": "661-942-2391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45104 10TH ST W",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935342310",
"telephone_number": "661-942-2391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLIDAY",
"first_name": "TESSINY",
"middle_name": "IRIARTE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-22",
"last_updated": "2021-01-15",
"certification_date": "2021-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "95003939",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "95003939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.