Individual provider Active NPI

Holly Lauren Ramos, PA-C

  • Surgical Physician Assistant
  • Fort Worth, TX
National Provider Identifier
1164825857
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA09398 Issued in TX
Practice address
5900 Altamesa Blvd Ste 100
Fort Worth, TX 76132-5475
Phone
(817) 854-9969
NPI assigned
Oct 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TX
Surgical Physician Assistant 363AS0400X PA09398 TX Primary

Addresses

Primary practice location

5900 Altamesa Blvd Ste 100
Fort Worth, TX 76132-5475

Mailing address

5900 Altamesa Blvd Ste 100
Fort Worth, TX 76132-5475
Phone (817) 854-9969

Other practice location 1

640 Keller Parkway Suite 100
Keller, TX 76248-2559
Phone (817) 854-9969

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20141229000727 TX Practitioner - Physician Assistant 5597088443 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ortholonestar PLLCGroup PAC ID 9931529062, 416 clinicians

Practice addresses (Care Compare)

3800 Gaylord Pkwy
Suite 710
Frisco, TX 75034-9635
Phone (214) 220-2468

640 Keller Pkwy
Suite 100
Keller, TX 76248-2559
Phone (817) 854-9969

721 Keller Pkwy
Keller, TX 76248-2404
Phone (817) 854-9969

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ortholonestar, PLLC Past Accepting new patients
Ortholonestar, PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: holly.sutherland.1@15533.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1164825857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 ALTAMESA BLVD STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761325475",
            "telephone_number": "817-854-9969",
            "fax_number": "803-604-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 ALTAMESA BLVD STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761325475",
            "telephone_number": "817-854-9969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 Keller Parkway Suite 100",
            "address_purpose": "LOCATION",
            "city": "Keller",
            "state": "TX",
            "postal_code": "762482559",
            "country_code": "US",
            "telephone_number": "817-854-9969",
            "fax_number": "833-604-0854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMOS",
        "first_name": "HOLLY",
        "middle_name": "LAUREN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-08",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA09398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.