Debra Ann Stumpf Hollister, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO.000130 Issued in LA

Practice address

3530 Houma Blvd Ste 300
Metairie, LA 70006

Phone

(504) 264-5142

Fax

(504) 455-2648

NPI assigned

Jun 21, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Debra Stumpf Hollister Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GDBCBD

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.

• Mercy Health Youngstown LLC

  • Internal Medicine Physician
  • Warren, OH
  • NPI 1497920409
  NPD
• PMR la Holding, LLC

  • Specialist
  • Miami Gardens, FL
  • NPI 1700333689
  NPD
• Gulf Coast Rheumatology

  • Specialist
  • Slidell, LA
  • NPI 1669630604
  NPD (past)
• Slidell Memorial Hospital

  • Specialist
  • Slidell, LA
  • NPI 1558301093
  NPD (past)
• Slidell Memorial Hospital

  • Primary Care Clinic/Center
  • Slidell, LA
  • NPI 1639326812
  NPD (past)
• Debra S. Hollister DO

  • Family Medicine Physician
  • Newton Falls, OH
  • NPI 1194780312

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1124023643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "504-264-5142",
            "fax_number": "504-455-2648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 HOUMA BLVD STE 300",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70006",
            "telephone_number": "504-264-5142",
            "fax_number": "504-455-2648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "843 Milling Ave",
            "address_purpose": "LOCATION",
            "city": "Luling",
            "state": "LA",
            "postal_code": "700704442",
            "country_code": "US",
            "telephone_number": "985-785-5800",
            "fax_number": "985-785-5811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLISTER",
        "first_name": "DEBRA",
        "middle_name": "ANN STUMPF",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-21",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-00-7136-H",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "DO.000130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2195851",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "HOLLISTER",
            "middle_name": "STUMPF",
            "credential": "D.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• David Arthur Holland, LPC
• Vellanie M Holliday- Williams
• Ajane' J. Holliday
• Mary Hollinger, PHARMD
• Chaunese Sue Hollins
• McKenzie Williams Holloway, D.D.S
• Seth Holloway, DPT
• Trevonya Holloway
• Catherine Holmes- Leblanc
• Angel Holmes

• All providers in Metairie, LA
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.