Organization Active NPI

Holistia Healthcare PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Kirkland, WA
National Provider Identifier
1124899299
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
HOLISTIA HEALTHCARE PLLC
Practice address
11220 127TH Ave NE
Kirkland, WA 98033-4121
Phone
(425) 645-6071
NPI assigned
Jan 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Authorized official

Name
Ioana Hall, DNPNPI 1225687890
Title
Owner
Phone
(425) 645-6071

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

11220 127TH Ave NE
Kirkland, WA 98033-4121

Mailing address

11220 127TH Ave NE
Kirkland, WA 98033-4121
Phone (425) 645-6071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240205001616 WA Part B Supplier - Clinic/Group Practice 9830532019 Receives reassigned benefits from 1 practitioner
Practice locations: Kirkland, WA

National Provider Directory

National Provider Directory
Tax ID family
Holistia Healthcare PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1124899299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11220 127TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980334121",
            "telephone_number": "425-645-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11220 127TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980334121",
            "telephone_number": "425-645-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIA HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "IOANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-645-6071",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.