Individual provider Active NPI

Rebecca Holland, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bozeman, MT
National Provider Identifier
1275205973
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
681208 Issued in PA
Practice address
233 E Main St Ste 401
Bozeman, MT 59715-5045
Phone
(406) 296-6494
Fax
(406) 720-7793
NPI assigned
Sep 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 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 681208 PA Primary

Addresses

Primary practice location

233 E Main St Ste 401
Bozeman, MT 59715-5045

Mailing address

707 Hammond LN
Stroudsburg, PA 18360-9785
Phone (973) 600-7727

Other practice location 1

912 Main St
Stroudsburg, PA 18360-1641
Phone (570) 424-9229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20220624000113 PA Practitioner - Nurse Practitioner 1658750484 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
681208PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Merakey Pennsylvania Current Accepting new patients
Brightside Medical, P.C. CurrentSince Aug 1, 2023 Accepting new patients
Merakey Pennsylvania CurrentSince Mar 5, 2022 Accepting new patients
Merakey Pennsylvania CurrentSince Mar 5, 2022 Accepting new patients
CH MH Services Ma, LLC Past Accepting new patients
Em Medical Ny, P.C. PastSince Mar 19, 2023 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

4251 Crums Mill Rd
Harrisburg, PA 17112
Phone (717) 441-3700

4203 Union Deposit Rd
Harrisburg, PA 17111
Phone (223) 797-7187

620 Germantown Pike
Lafayette Hl, PA 19444
Phone (313) 278-2327

1151 Pocono Blvd
Mount Pocono, PA 18344
Phone (570) 243-8787

912 Main St
Ste 202
Stroudsburg, PA 18360
Phone 5704248119 ext. 9008

Interoperability endpoints

  • Direct secure messaging: rebecca.holland@489656322949124.direct.elationemr.com

Organizations & group practices 6

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": "1632960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1275205973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 HAMMOND LN",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183609785",
            "telephone_number": "973-600-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 E MAIN ST STE 401",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597155045",
            "telephone_number": "406-296-6494",
            "fax_number": "406-720-7793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "912 Main St",
            "address_purpose": "LOCATION",
            "city": "Stroudsburg",
            "state": "PA",
            "postal_code": "183601641",
            "country_code": "US",
            "telephone_number": "570-424-9229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "REBECCA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-30",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "681208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.