Jessica Holst

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

277581 Issued in AZ

Practice address

2705 N 4TH St
Flagstaff, AZ 86004-1846

Phone

(928) 233-8801

NPI assigned

Apr 28, 2022

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

Electronic endpoints 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ryan Internal Medicine PCGroup PAC ID 4082613708, 5 clinicians

Davis Whole Family Health PLLCGroup PAC ID 5395192637, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jessica.holst.1@29090.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/CFIEAA

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.

• Davis Whole Family Health PLLC

  • Family Medicine Physician
  • Flagstaff, AZ
  • NPI 1275232654
  Medicare reassignment Care Compare group NPD
• Ryan Internal Medicine PC

  • Internal Medicine Physician
  • Flagstaff, AZ
  • NPI 1033225024
  Medicare reassignment Care Compare group NPD
• Davis Whole Family Health PLLC

  • Family Medicine Physician
  • Flagstaff, AZ
  • NPI 1851158109
  NPD (past)

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

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1134864754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2816 N GREGG DR",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 N 4TH ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860041846",
            "telephone_number": "928-233-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLST",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-28",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "277581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "JessicaHolst",
            "affiliation": "N",
            "endpointDescription": "Name",
            "address_1": "2816 N Gregg Dr",
            "city": "Flagstaff",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "860011073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mary Holiday, LPN
• Ashton Holliday, D.C
• Holly K Vigil Dba a Woman'S Place
• Helen-Marie Holmgren, P.T.
• Holon Health Great Lakes, P.C.
• Holt Medical PLLC
• Diana E Holt, PNP
• Richard Frank Holt, D.O.
• Home Health Flagstaff LLC
• Homeease Medical Equipment LLC

• Nurse Practitioner in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.