Holly Lynn Burt, MSN, RN, PHN, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95000536 Issued in CA

Practice address

11815 Education St
Auburn, CA 95602-2410

Phone

(530) 888-4555

NPI assigned

Oct 3, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Holly Lynn Ottaviano and Reveles Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412294400000",
    "number": "1104229103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11815 EDUCATION ST",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956022410",
            "telephone_number": "530-888-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11815 EDUCATION ST",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956022410",
            "telephone_number": "530-888-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURT",
        "first_name": "HOLLY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "MSN, RN, PHN, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-03",
        "last_updated": "2014-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95000536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "OTTAVIANO AND REVELES",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Danelle Buer
• Thang Peter Bui
• Claudia Burgess, CMT
• Jamie Leann Burnett, CMT
• Barry Burris, N.D.
• Amy Marie Burton, LMFT
• Richard James Burton, M.D.
• Ashley Bury
• Andrew Butterworth, CADC I
• Diana H Buttles

• Family Nurse Practitioner in Auburn, CA
• Providers in Auburn, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.