Individual provider Active NPI

Caitlin Suzanne Holland, NRP, PA-C

  • Physician Assistant
  • Riverview, FL
National Provider Identifier
1083495964
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA91180000 Issued in FL
Practice address
8811 Kanawha Rd
Riverview, FL 33578-4943
Phone
(702) 769-2187
NPI assigned
Oct 9, 2023
Last updated
Oct 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA91180000 FL Primary
Paramedic 146L00000X PMD543348 FL

Addresses

Primary practice location

8811 Kanawha Rd
Riverview, FL 33578-4943

Mailing address

8811 Kanawha Rd
Riverview, FL 33578-4943
Phone (702) 769-2187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20231018001838 FL Practitioner - Physician Assistant 8022463561 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

16521 S US Hwy 301
TGH Urgent Care Powered by Fast Tra
Wimauma, FL 33598-2032
Phone (813) 928-1903

4505 Gunn Hwy
Tampa, FL 33624-6311
Phone (813) 925-1903

5464 Lithia Pinecrest Rd
Lithia, FL 33547-2853
Phone (813) 925-1903

799 W Lumsden Rd
TGH Urgent Care Powered by Fast Tra
Brandon, FL 33511-6261
Phone (813) 925-1903

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PMD543348FLMDParamedic
PA91180000FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
Tampa General Medical Group Inc CurrentSince Dec 1, 2024 Accepting new patients
Synergic Healthcare Solutions LLC CurrentSince Oct 15, 2023 Accepting new patients
Synergic Healthcare Solutions LLC Current Accepting new patients
Tampa General Medical Group Inc CurrentSince Dec 1, 2024 Accepting new patients
Synergic Healthcare Solutions LLC CurrentSince Oct 15, 2023 Accepting new patients

Locations

214 Morrison Rd
Ste 110
Brandon, FL 33511
Phone (800) 844-9302

5504 Gateway Blvd
Wesley Chapel, FL 33544
Phone (813) 948-5400

16521 US 301 S
Wimauma, FL 33598
Phone (813) 844-4700

200 N Bryant Ave
Ste 10
Edmond, OK 73034

Interoperability endpoints

  • Direct secure messaging: cholland338354@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 9

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": "1696809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1083495964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8811 KANAWHA RD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335784943",
            "telephone_number": "702-769-2187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8811 KANAWHA RD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335784943",
            "telephone_number": "702-769-2187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "CAITLIN",
        "middle_name": "SUZANNE",
        "name_prefix": "Ms.",
        "credential": "NRP, PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA91180000",
            "primary": true
        },
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "FL",
            "license": "PMD543348",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

Verify at the official NPI Registry.