Individual provider Active NPI

Heather Holleran, PA-C, MSHS, MPH

  • Physician Assistant
  • Tempe, AZ
National Provider Identifier
1184066904
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5438 Issued in AZ
Practice address
1626 S Priest Dr
Suite 104
Tempe, AZ 85281-6204
Phone
(480) 882-7320
Fax
(480) 967-7920
NPI assigned
Jul 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5438 AZ Primary

Addresses

Primary practice location

1626 S Priest Dr
Suite 104
Tempe, AZ 85281-6204

Mailing address

5054 W Geronimo St
Chandler, AZ 85226-4529
Phone (480) 205-6377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20130918000364 AZ Practitioner - Physician Assistant 9739323569 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth Medical Group, LLCGroup PAC ID 1557274057, 338 clinicians

Practice addresses (Care Compare)

1626 S Priest Dr
Suite 104
Tempe, AZ 85281-6598
Phone (480) 882-7320

18404 N Tatum Blvd
Suite 101
Phoenix, AZ 85032-1511
Phone (602) 992-1900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5438AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory CurrentSince Jun 9, 2014 Accepting new patients
Honorhealth Medical Group, LLC CurrentSince Oct 1, 2020 Accepting new patients
Honorhealth Ambulatory CurrentSince Jun 9, 2014 Accepting new patients
Honorhealth Medical Group, LLC CurrentSince Oct 1, 2020 Accepting new patients
Honorhealth Medical Group, LLC Past Accepting new patients
Honorhealth Ambulatory Past Accepting new patients

Locations

10230 W Happy Valley Pkwy
Ste 100C
Peoria, AZ 85383
Phone (623) 561-3030

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

1515 E Bethany Home Rd
Ste 120A
Phoenix, AZ 85014
Phone (480) 718-5072

18404 N Tatum Blvd
Ste 101
Phoenix, AZ 85032
Phone (602) 992-1900

18404 N Tatum Blvd
Ste 101C
Phoenix, AZ 85032
Phone (602) 485-7475

20330 N Cave Creek Rd
Ste 160
Phoenix, AZ 85024
Phone (602) 730-8443

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

10200 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 314-2288

1626 S Priest Dr
Ste 104
Tempe, AZ 85281
Phone (480) 882-7320

Interoperability endpoints

  • Direct secure messaging: hholleran35795@direct.honorhealth.com

Organizations & group practices 8

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": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1184066904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5054 W GERONIMO ST",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852264529",
            "telephone_number": "480-205-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 S PRIEST DR",
            "address_2": "SUITE 104",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852816204",
            "telephone_number": "480-882-7320",
            "fax_number": "480-967-7920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLERAN",
        "first_name": "HEATHER",
        "credential": "PA-C, MSHS, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-22",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "5438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.