Individual provider Active NPI

Lisa Michelle Holinbeck, NP

  • Nurse Practitioner
  • Wichita Falls, TX
National Provider Identifier
1134472079
Registry record updated Aug 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP125578 Issued in TX
Practice address
3506 Buchanan St
Wichita Falls, TX 76308-1856
Phone
(940) 696-1600
NPI assigned
Oct 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP125578 TX Primary

Addresses

Primary practice location

3506 Buchanan St
Wichita Falls, TX 76308-1856

Mailing address

3506 Buchanan St
Wichita Falls, TX 76308-1856
Phone (940) 696-1600

Other names 1

  • Lisa Hurley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP125578TXMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439164800000",
    "number": "1134472079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3506 BUCHANAN ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763081856",
            "telephone_number": "940-696-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3506 BUCHANAN ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763081856",
            "telephone_number": "940-696-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLINBECK",
        "first_name": "LISA",
        "middle_name": "MICHELLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-16",
        "last_updated": "2015-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP125578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "HURLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.