Individual provider Active NPI

Elizabeth Hope Hollingsworth, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Butte, MT
National Provider Identifier
1215695325
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NUR-APRN-LIC-216954 Issued in MT
Practice address
55 E Galena St
Butte, MT 59701-1703
Phone
(540) 588-9619
NPI assigned
Dec 6, 2021
Last updated
Oct 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NUR-APRN-LIC-216954 MT Primary

Addresses

Primary practice location

55 E Galena St
Butte, MT 59701-1703

Mailing address

700 Locust St
Anaconda, MT 59711-2931
Phone (540) 588-9619

Other practice location 1

700 Locust St
Anaconda, MT 59711-2931
Phone (540) 588-9619

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20240102001742 MT Practitioner - Nurse Practitioner 4486004538 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

118 E 7TH St
2Ca
Anaconda, MT 59711-2900
Phone (540) 588-9619

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NUR-APRN-LIC-216954MTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sub Rosa Therapy CurrentSince Jan 1, 2025 Accepting new patients
Sparrow Psychiatry and Wellness PLLC Psychiatric/Mental Health CurrentSince Nov 1, 2023 Accepting new patients

Locations

118 E 7th St
Ste 2CA
Anaconda, MT 59711
Phone (406) 209-9852

1001 W Oak St
Ste 205
Bozeman, MT 59715
Phone (406) 581-1138

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1215695325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 LOCUST ST",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597112931",
            "telephone_number": "540-588-9619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 E GALENA ST",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597011703",
            "telephone_number": "540-588-9619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Locust St",
            "address_purpose": "LOCATION",
            "city": "Anaconda",
            "state": "MT",
            "postal_code": "597112931",
            "country_code": "US",
            "telephone_number": "540-588-9619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLINGSWORTH",
        "first_name": "ELIZABETH",
        "middle_name": "HOPE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-06",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MT",
            "license": "NUR-APRN-LIC-216954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butte, MT

Sources for this page

Verify at the official NPI Registry.