Active NPI
Deborah Ann Holdeman, FNP
- Occupational Health Nurse Practitioner
- Oakland, CA
National Provider Identifier
1174728083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Health Nurse Practitioner
- License
- 441923NP4995
- Practice address
- 3232 Elm St
Oakland, CA 94609-3050 - Phone
- (510) 869-8761
- Fax
- (510) 869-6903
- NPI assigned
- Jun 20, 2007
- 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 |
|---|---|---|---|---|
| Occupational Health Nurse Practitioner | 363LX0106X | 441923NP4995 | CA | Primary |
Addresses
Primary practice location
3232 Elm St
Oakland, CA 94609-3050
Mailing address
5517 Lawton Ave
Oakland, CA 94618-1508
Phone (510) 652-6697
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 441923NP4995 | CA | MD | Occupational Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188518400000",
"number": "1174728083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5517 LAWTON AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946181508",
"telephone_number": "510-652-6697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3232 ELM ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093050",
"telephone_number": "510-869-8761",
"fax_number": "510-869-6903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLDEMAN",
"first_name": "DEBORAH",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-20",
"last_updated": "2007-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0106X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Occupational Health",
"state": "CA",
"license": "441923NP4995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.