Active NPI
Holly Ann Monka, NP
- Adult Health Nurse Practitioner
- Tucson, AZ
National Provider Identifier
1114104874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 3543
- Practice address
- 5151 E Pima St Ste 110
Tucson, AZ 85712-3627 - Phone
- (800) 922-0095
- Fax
- (602) 325-2082
- NPI assigned
- Jan 24, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 30 304786 | NY | |
| Nurse Practitioner | 363L00000X | RN160935 | AZ | |
| Adult Health Nurse Practitioner | 363LA2200X | 3543 | AZ | Primary |
Addresses
Primary practice location
5151 E Pima St Ste 110
Tucson, AZ 85712-3627
Mailing address
1477 W Commerce CT
Tucson, AZ 85746-6016
Phone (520) 792-3293
Other practice location 1
2435 N Castro Ave
Tucson, AZ 85705-5060
Phone (520) 622-8030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 490577 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30 304786 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospice of the Valley | Current | Accepting new patients | |
| Hospice of the Valley | Current | Accepting new patients | |
| Buena Vista Recovery, LLC | Past | Accepting new patients | |
| Buena Vista Recovery | Past | Accepting new patients | |
| Buena Vista Recovery, LLC | Past | Accepting new patients | |
| Adult Health Nurse Practitioner House Call Services, PLLC | Nurse Practitioner | Past | Accepting new patients |
| Scottsdale Mat Clinic | Past | Accepting new patients | |
| SMC Recovery LLC | Past | Accepting new patients | |
| Buena Vista Recovery, LLC | Past | Accepting new patients |
Locations
1510 E Flower St
Phoenix, AZ 85014
Phone (602) 530-6900
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 and National Provider Directory roles.
-
- Community Based Hospice Care Agency
- Phoenix, AZ
- NPI 1588682405
-
- Community Based Hospice Care Agency
- Scottsdale, AZ
- NPI 1528086451
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Cave Creek, AZ
- NPI 1578002572
-
- Substance Abuse Rehabilitation Facility
- Chandler, AZ
- NPI 1750823498
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Scottsdale, AZ
- NPI 1770107476
-
- Corporate Health Clinic/Center
- Chandler, AZ
- NPI 1881230886
-
- Methadone Clinic
- Scottsdale, AZ
- NPI 1952062127
-
- Methadone Clinic
- Scottsdale, AZ
- NPI 1629474481
-
- Adult Health Nurse Practitioner
- Pearl River, NY
- NPI 1306884804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689120000000",
"number": "1114104874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1477 W COMMERCE CT",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857466016",
"telephone_number": "520-792-3293",
"fax_number": "520-792-4336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5151 E PIMA ST STE 110",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857123627",
"telephone_number": "800-922-0095",
"fax_number": "602-325-2082"
}
],
"practiceLocations": [
{
"address_1": "2435 N Castro Ave",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857055060",
"country_code": "US",
"telephone_number": "520-622-8030",
"fax_number": "520-622-8012",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONKA",
"first_name": "HOLLY",
"middle_name": "ANN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-24",
"last_updated": "2023-07-12",
"certification_date": "2023-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "30 304786",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "RN160935",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "AZ",
"license": "3543",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "490577",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.