Holly A Hausmann, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

88 Issued in MT

Practice address

300 N Willson
Suite 2001
Bozeman, MT 59715-3572

Phone

(406) 587-0681

Fax

(406) 587-9011

NPI assigned

Mar 16, 2006

Sex

Female

Sole proprietor

No

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.

• Bridgercare

  • Non-Surgical Family Planning Clinic/Center
  • Bozeman, MT
  • NPI 1700855830
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 9, 2007.

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1174592604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N WILLSON",
            "address_2": "SUITE 2001",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153572",
            "telephone_number": "406-587-0681",
            "fax_number": "406-587-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N WILLSON",
            "address_2": "SUITE 2001",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153572",
            "telephone_number": "406-587-0681",
            "fax_number": "406-587-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUSMANN",
        "first_name": "HOLLY",
        "middle_name": "A",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MT",
            "license": "88",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0431647",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kassandra Haughton, LCPC
• Stacey Haugland, CPM
• Karlee Haus, NP
• Janice Hausauer, NP
• Breana Lea Hauskins-McElgunn, N.D.
• Haute Route Sports Medicine, PLLC
• Haven
• Jessica Hawksford, MA, LCPC
• Wallace J Hayasaka, M.D.
• Leslie A Hayes, DDS

• All providers in Bozeman, MT
• Medical Physician Assistant in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.