Active NPI
Tiffany Nicole Holland, M.D.
- Family Medicine Physician
- Lake Zurich, IL
National Provider Identifier
1154551620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036146440
- Practice address
- 350 Surryse Rd Ste 100
Lake Zurich, IL 60047-3217 - Phone
- (847) 438-2144
- NPI assigned
- Jul 19, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036146440 | IL | Primary |
Addresses
Primary practice location
350 Surryse Rd Ste 100
Lake Zurich, IL 60047-3217
Mailing address
29373 Network PL
Chicago, IL 60673-3318
Phone (847) 390-5900
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | tholland344050@direct.myadvocateaurora.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Meharry Medical College School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15 Tower CT
Suite 210
Gurnee, IL 60031-3355
Phone (847) 599-1444
Hospital & facility affiliations
- Advocate Home Health Care Serv
- Vista Medical Center East
- Advocate Condell Medical Center
- Northwestern Lake Forest Hospital
- Advocate Good Shepherd Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waukegan Clinic Corp | Family Medicine | Current | Accepting new patients |
| Oncology Hematology Associates of Northern Illinois, LTD | Current | Accepting new patients |
Locations
200 S Greenleaf St
Ste L
Gurnee, IL 60031
Phone (847) 360-7888
15 Tower Ct
Ste 210
Gurnee, IL 60031
Phone (847) 599-1444
Interoperability endpoints
- tiffany.holland.2@2069.direct.athenahealth.com
- https://api.platform.athenahealth.com/2069/brand/1/csg/29/fhir/r4
- tholland344050@direct.myadvocateaurora.org
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Waukegan, IL
- NPI 1306937289
-
- Hematology & Oncology Physician
- Gurnee, IL
- NPI 1093142135
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Libertyville, IL
- NPI 1124272547
-
- Mobile Mammography Clinic/Center
- Grayslake, IL
- NPI 1770737199
Hospital
-
- General Acute Care Hospital
- Barrington, IL
- NPI 1447368071
-
- Home Health Agency
- Oak Brook, IL
- NPI 1598732075
-
- General Acute Care Hospital
- Lake Forest, IL
- NPI 1124025176
-
- General Acute Care Hospital
- Waukegan, IL
- NPI 1639120694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665619200000",
"number": "1154551620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29373 NETWORK PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606733318",
"telephone_number": "847-390-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 SURRYSE RD STE 100",
"city": "LAKE ZURICH",
"state": "IL",
"postal_code": "600473217",
"telephone_number": "847-438-2144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "TIFFANY",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-19",
"last_updated": "2022-10-13",
"certification_date": "2022-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036146440",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "350 Surryse Rd Ste 100",
"city": "Lake Zurich",
"state": "IL",
"country_code": "US",
"postal_code": "600473217",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tholland344050@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "350 Surryse Rd Ste 100",
"city": "Lake Zurich",
"state": "IL",
"country_code": "US",
"postal_code": "600473217",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lake Zurich, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.