Active NPI
Bobbi Sue Holder, W.H.N.P.
- Women's Health Nurse Practitioner
- Menlo Park, CA
National Provider Identifier
1184774705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 629523
- Practice address
- 1300 University Dr Ste 8
Menlo Park, CA 94025-4254 - Phone
- (313) 870-7799
- NPI assigned
- Jan 12, 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 629523 | TX | Primary |
Addresses
Primary practice location
1300 University Dr Ste 8
Menlo Park, CA 94025-4254
Mailing address
PO Box 33357
Belfast, ME 04915-0611
Other practice location 1
325 N Saint Paul St Ste 3100
Dallas, TX 75201-3923
Phone (888) 731-8994
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jasper Newton County Public Health District | Past | Accepting new patients | |
| Integrative Womens Care PC | Past | Accepting new patients |
Interoperability endpoints
- bobbi.holder.1@27069.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Obstetrics & Gynecology Physician
- Palo Alto, CA
- NPI 1972266732
-
- Public Health or Welfare Agency
- Newton, TX
- NPI 1083832562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704844800000",
"number": "1184774705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 33357",
"city": "BELFAST",
"state": "ME",
"postal_code": "049150611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 UNIVERSITY DR STE 8",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940254254",
"telephone_number": "313-870-7799"
}
],
"practiceLocations": [
{
"address_1": "325 N Saint Paul St Ste 3100",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752013923",
"country_code": "US",
"telephone_number": "888-731-8994",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLDER",
"first_name": "BOBBI",
"middle_name": "SUE",
"name_prefix": "Mrs.",
"credential": "W.H.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-12",
"last_updated": "2024-01-10",
"certification_date": "2024-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "TX",
"license": "629523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Menlo Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.