Kristin Holahan, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0110-005794 Issued in VA

Practice address

4092 Foxwood Dr Ste 101
Virginia Beach, VA 23462-5225

Phone

(757) 467-4200

NPI assigned

Jul 28, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, CT2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kholahan60157@middlesexhealthprd.direct-ci.com

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.

• MHS Primary Care Inc

  • Urgent Care Clinic/Center
  • Old Saybrook, CT
  • NPI 1093138935

  CT, Medical

  Medicare reassignment Care Compare group NPD
• MHS Primary Care, Inc

  • Family Medicine Physician
  • Middletown, CT
  • NPI 1336279058

  CT

  Medicare reassignment Care Compare group NPD (past)
• MHS Primary Care Inc

  • Internal Medicine Physician
  • Essex, CT
  • NPI 1750276655
  Care Compare group NPD
• Emergency Physicians of Tidewater

  • Emergency Medicine Physician
  • Norfolk, VA
  • NPI 1033136841

  VA

  Medicare reassignment
• MHS Primary Care Inc

  • Family Nurse Practitioner
  • Middletown, CT
  • NPI 1366968182
  Care Compare group
• MHS Primary Care

  • Family Medicine Physician
  • Portland, CT
  • NPI 1710104625
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Middlesex Hospital

  • General Acute Care Hospital
  • Middletown, CT
  • NPI 1760454334

  Hospital

  Care Compare affiliation

Specialty

Physician Assistant

Education

Eastern Virginia Medical School, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MHS Primary Care, Inc. 180 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Middlesex Hospital Hospital, Middletown, CT, CCN 070020

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501200000000",
    "number": "1255855573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 BANK ST APT 305D",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235102582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4092 FOXWOOD DR STE 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234625225",
            "telephone_number": "757-467-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLAHAN",
        "first_name": "KRISTIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-28",
        "last_updated": "2017-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110-005794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avis Hoggard
• Caitlyn Hogge, BS, MS
• McKayla Hojnacki
• Brian Robert Hoke, PT
• Emily Kay Hoke, DPT
• Brooke Austin Holcomb, PMH-RN, BC
• Dara D Holder, M.D
• Joshua Holder, QMHP-T
• Valeria Holguin, RN, CNS
• Holistic Care Counseling & Consulting

• All providers in Virginia Beach, VA
• Medical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.