Active NPI
Leslie Holland
- EEG Specialist/Technologist
- Goodyear, AZ
National Provider Identifier
1164089553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- EEG Specialist/Technologist
- Practice address
- 18315 W Santa Alberta LN
Goodyear, AZ 85338-5338 - Phone
- (623) 386-3836
- NPI assigned
- May 21, 2019
- 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 |
|---|---|---|---|---|
| EEG Specialist/Technologist | 246ZE0500X | Primary |
Addresses
Primary practice location
18315 W Santa Alberta LN
Goodyear, AZ 85338-5338
Mailing address
18315 W Santa Alberta LN
Goodyear, AZ 85338-5338
Phone (623) 386-3836
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558396800000",
"number": "1164089553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18315 W SANTA ALBERTA LN",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853385338",
"telephone_number": "623-386-3836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18315 W SANTA ALBERTA LN",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853385338",
"telephone_number": "623-386-3836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "LESLIE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-21",
"last_updated": "2019-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "246ZE0500X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, EEG",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.