NPIMap

Individual provider Active NPI

Holly Avery Dunn

  • Kinesiotherapist
  • Rocklin, CA
National Provider Identifier
1053790097
Registry record updated May 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
KinesiotherapistTaxonomy code 226300000X
Practice address
6805 Five Star Blvd.
Suite #100
Rocklin, CA 95677-4135
Phone
(916) 624-3500
Fax
(916) 624-3500
NPI assigned
May 22, 2015
Last updated
May 22, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Kinesiotherapist 226300000X Primary

Addresses

Primary practice location

6805 Five Star Blvd.
Suite #100
Rocklin, CA 95677-4135

Mailing address

6805 Five Star Blvd.
Suite #100
Rocklin, CA 95677-4135
Phone (916) 624-3500

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
La Bella Vita Medi Spa Inc. PastSince May 15, 2017 Accepting new patients
Roseville Urology, Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432252800000",
    "number": "1053790097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6805 FIVE STAR BLVD.",
            "address_2": "SUITE #100",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956774135",
            "telephone_number": "916-624-3500",
            "fax_number": "916-624-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6805 FIVE STAR BLVD.",
            "address_2": "SUITE #100",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956774135",
            "telephone_number": "916-624-3500",
            "fax_number": "916-624-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "HOLLY",
        "middle_name": "AVERY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-22",
        "last_updated": "2015-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "226300000X",
            "taxonomy_group": "",
            "desc": "Kinesiotherapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocklin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; 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.