Active NPI
Holistic Family Medical Practice LLC
- Multi-Specialty Clinic/Center
- Newark, DE
National Provider Identifier
1184369936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- HOLISTIC FAMILY MEDICAL PRACTICE LLC
- Practice address
- 262 Chapman Rd Ste 107
Newark, DE 19702-5412 - Phone
- (302) 685-2222
- Fax
- (302) 355-1198
- NPI assigned
- May 4, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Fanta Schwarz, FNP
- Title
- Provider/Owner
- Phone
- (267) 879-6292
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | |||
| Internal Medicine Physician | 207R00000X | |||
| Clinic/Center | 261Q00000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Primary | ||
| Primary Care Clinic/Center | 261QP2300X |
Addresses
Primary practice location
262 Chapman Rd Ste 107
Newark, DE 19702-5412
Mailing address
44 Princeton CT
Newark, DE 19702-5211
Phone (267) 879-6292
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | EMR | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
262 Chapman Rd
Ste 107
Newark, DE 19702
Phone (267) 879-6292
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Newark, DE
- NPI 1700329331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651622400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658102400000",
"number": "1184369936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 PRINCETON CT",
"city": "NEWARK",
"state": "DE",
"postal_code": "197025211",
"telephone_number": "267-879-6292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "262 CHAPMAN RD STE 107",
"city": "NEWARK",
"state": "DE",
"postal_code": "197025412",
"telephone_number": "302-685-2222",
"fax_number": "302-355-1198"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLISTIC FAMILY MEDICAL PRACTICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-04",
"last_updated": "2022-07-18",
"certification_date": "2022-07-18",
"status": "A",
"authorized_official_last_name": "SCHWARZ",
"authorized_official_first_name": "FANTA",
"authorized_official_title_or_position": "PROVIDER/OWNER",
"authorized_official_telephone_number": "267-879-6292",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QA0401X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "EMR",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "262 Chapman Rd",
"city": "Newark",
"state": "DE",
"country_code": "US",
"postal_code": "197025448",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.