Individual provider Active NPI

Holly Gurley

  • Certified Registered Nurse Anesthetist
  • Dallas, TX
National Provider Identifier
1205445103
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1032238 Issued in TX
Practice address
14850 Quorum Dr Ste 400
Dallas, TX 75254-1445
Phone
(469) 437-3564
Fax
(469) 825-6903
NPI assigned
Jul 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 877791 TX
Certified Registered Nurse Anesthetist 367500000X 1032238 TX Primary

Addresses

Primary practice location

14850 Quorum Dr Ste 400
Dallas, TX 75254-1445

Mailing address

14850 Quorum Dr Ste 400
Dallas, TX 75254-1445
Phone (469) 437-3564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210510001692 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 5991114670 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
877791TXMDRegistered Nurse
1032238TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Anesthesia Management CurrentSince Jun 10, 2021 Accepting new patients
Valiant Anesthesia Associates, PLLC CurrentSince Jul 1, 2021 Accepting new patients
Northstar Anesthesia II PA Nurse Anesthetist, Certified Registered CurrentSince Mar 12, 2021 Accepting new patients
Northstar Anesthesia, PA Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2021 Accepting new patients

Locations

17101 Dallas Pkwy
Addison, TX 75001
Phone (214) 696-8033

11801 South Fwy
Burleson, TX 76028
Phone (817) 551-2738

17980 Dallas Pkwy
Ste 100
Dallas, TX 75287
Phone (817) 556-8387

14850 Quorum Dr
Ste 400
Dallas, TX 75254
Phone (214) 801-1879

14850 Quorum Dr
Ste 440
Dallas, TX 75254
Phone (833) 749-8324

3455 Locke Ave
Fort Worth, TX 76107
Phone (214) 284-7106

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

809 W Harwood Rd
Ste 101
Hurst, TX 76054
Phone (817) 283-5252

6225 State Highway 161
Ste 200
Irving, TX 75038
Phone (214) 687-0496

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

Organizations & group practices 4

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": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1205445103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14850 QUORUM DR STE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752541445",
            "telephone_number": "469-437-3564",
            "fax_number": "469-825-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14850 QUORUM DR STE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752541445",
            "telephone_number": "469-437-3564",
            "fax_number": "469-825-6903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURLEY",
        "first_name": "HOLLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-27",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "877791",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "1032238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.

Verify at the official NPI Registry.