NPIMap

Organization Active NPI

Holistia Healthcare PLLC

  • Adult Health Nurse Practitioner
  • Kirkland, WA
National Provider Identifier
1063275352
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
HOLISTIA HEALTHCARE PLLC
Practice address
11220 127TH Ave NE
Kirkland, WA 98033-4121
Phone
(425) 645-6071
NPI assigned
Jan 31, 2024
Organization subpart
Yes
Parent organization
PCP-MEDICALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Authorized official

Name
Ioana Maria HallNPI 1225687890
Title
Owner
Phone
(206) 799-8476

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

11220 127TH Ave NE
Kirkland, WA 98033-4121

Mailing address

11220 127TH Ave NE
Kirkland, WA 98033-4121
Phone (425) 645-6071

National Provider Directory

National Provider Directory
Tax ID family
Holistia Healthcare PLLC2 organizations share this tax ID, including this one
Part of
Holistia Healthcare PLLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1063275352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11220 127TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980334121",
            "telephone_number": "425-645-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11220 127TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980334121",
            "telephone_number": "425-645-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIA HEALTHCARE PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PCP-MEDICAL",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "IOANA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-799-8476"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.