Individual provider Active NPI

Holley Caballes Harris

  • Certified Registered Nurse Anesthetist
  • Loveland, CO
National Provider Identifier
1063551018
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
C-APN.0001411-C-CRNA Issued in CO
Practice address
2555 E 13TH St Ste 220
Loveland, CO 80537-5136
Phone
(970) 669-5432
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X C-APN.0001411-C-CRNA CO Primary

Addresses

Primary practice location

2555 E 13TH St Ste 220
Loveland, CO 80537-5136

Mailing address

3702 S Timberline Rd Ste a
Fort Collins, CO 80525-3625
Phone (970) 207-9773

Other practice location 1

8227 W 20th St
Greeley, CO 80634-3039
Phone (970) 573-7555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190520002625 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486754124 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centers for GastroenterologyGroup PAC ID 9537059555, 38 clinicians

Practice addresses (Care Compare)

3702 S Timberline Rd
Suite a
Fort Collins, CO 80525-3625
Phone (970) 207-9773

Merit-based Incentive Payment System (MIPS)

Final score
60.52 of 100Reported as group
Quality
0
Promoting interoperability
100
Improvement activities
40
Cost
68.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
C-APN.0001411-C-CRNACOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Gastroenterology CurrentSince Feb 1, 2021 Accepting new patients
Northern Colorado Anesthesia Professionals PLLC CurrentSince May 1, 2019 Accepting new patients
Greeley Endoscopy Center, LLC PastSince Aug 6, 2023 Accepting new patients

Locations

2127 E Harmony Rd
Ste 200
Fort Collins, CO 80528
Phone (970) 297-6300

3702 Automation Way
Ste 103
Fort Collins, CO 80525
Phone (970) 922-3622

3702 S Timberline Rd
Ste A
Fort Collins, CO 80525
Phone (970) 207-9773

8227 W 20th St
Greeley, CO 80634
Phone (970) 420-8863

2555 E 13th St
Ste 210
Loveland, CO 80537
Phone (970) 461-6262

2500 Rocky Mountain Ave
Loveland, CO 80538
Phone (970) 297-6425

2555 E 13th St
Ste 220
Loveland, CO 80537
Phone (970) 669-5432

2500 Rocky Mountain Ave
Ste 200
Loveland, CO 80538
Phone (970) 297-6425

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1063551018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 S TIMBERLINE RD STE A",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253625",
            "telephone_number": "970-207-9773",
            "fax_number": "970-207-1893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 E 13TH ST STE 220",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805375136",
            "telephone_number": "970-669-5432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8227 W 20th St",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806343039",
            "country_code": "US",
            "telephone_number": "970-573-7555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "HOLLEY",
        "middle_name": "CABALLES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "C-APN.0001411-C-CRNA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.