Heather Holley, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

006011 Issued in AZ

Practice address

9059 W Lake Pleasant Pkwy Ste E-540
Peoria, AZ 85382

Phone

(623) 322-3380

Fax

(623) 332-4399

NPI assigned

Jan 17, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Banner Estrella Medical Center

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1275566200
  NPD (past)
• Pleasant Pediatrics PLC

  • Pediatrics Physician
  • Glendale, AZ
  • NPI 1467032649
  NPD (past)
• Pleasant Pediatrics PLC

  • Pediatrics Physician
  • Peoria, AZ
  • NPI 1477742807
  NPD (past)
• Pleasant Pediatrics PLC

  • Pediatrics Physician
  • Glendale, AZ
  • NPI 1619485489
  NPD (past)
• Pleasant Pediatrics PLC

  • Pediatrics Physician
  • Peoria, AZ
  • NPI 1790025591
  NPD (past)
• VHS of Arrowhead, Inc

  • General Acute Care Hospital
  • Glendale, AZ
  • NPI 1326022765
  NPD (past)

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

{
    "created_epoch": "1263686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1124359013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9059 W LAKE PLEASANT PKWY STE E-540",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85382",
            "telephone_number": "623-322-3380",
            "fax_number": "623-332-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9059 W LAKE PLEASANT PKWY STE E-540",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85382",
            "telephone_number": "623-322-3380",
            "fax_number": "623-332-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLEY",
        "first_name": "HEATHER",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-17",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "006011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holistic Harmony Haven LLC
• Holistic Health and Wound Care Specialist LLC
• Holland Center for Family Medicine LTD
• Joshua D Holland, MD
• Rachel Diana Holland, MA, LPC, NCC
• Derry Anne Hollock
• Karie Holloway, O.D.
• Brandi SM Holmes, ND
• Brian A Holtan, MD
• Robert S Holyoak, DMD

• Pediatrics Physician in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.