Renee Holleran, PHD, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5377224-4405 Issued in UT

Practice address

9720 S 1300 E Ste E240
Sandy, UT 84094-3795

Phone

(801) 501-2025

Fax

(801) 501-4099

NPI assigned

Dec 22, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: renee.marie.holleran.1@20766.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Granger Medical Clinic PC

  • Multi-Specialty Clinic/Center
  • West Valley City, UT
  • NPI 1184657041
  NPD (past)
• Ihc Health Services Inc

  dba Alta View Senior Clinic

  • Geriatric Medicine (Family Medicine) Physician
  • Sandy, UT
  • NPI 1508145111
  NPD (past)
• Ihc Health Services, Inc.

  dba St George Adolescent Partial Hospitalization

  • Psychiatry Physician
  • St George, UT
  • NPI 1023843844
  NPD (past)

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425859200000",
    "number": "1174892905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9720 S 1300 E STE E240",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840943795",
            "telephone_number": "801-501-2025",
            "fax_number": "801-501-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9720 S 1300 E STE E240",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840943795",
            "telephone_number": "801-501-2025",
            "fax_number": "801-501-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLERAN",
        "first_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "PHD, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-22",
        "last_updated": "2015-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "5377224-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Hoffman, DMD
• Christiana Diane Hoffmann
• Robert Kent Holbeck, RPH
• Laura Nicole Holden, FNP-C
• Sarah Mary Holland, CRNA
• Anthony Holmes, DPT
• Vanessa Holmes, OT
• Brian Lee Homer, D.M.D.
• Madeleine Susanna Homer
• Ronald K. Honey, OTD, OTR/L

• Family Nurse Practitioner in Sandy, UT
• Providers in Sandy, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.