Individual provider Active NPI

Holly D Debevoise

  • Student in an Organized Health Care Education/Training Program
  • Mill Creek, WA
National Provider Identifier
1316855422
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
16300 Mill Creek Blvd Ste G1
Mill Creek, WA 98012-1279
Phone
(425) 362-2914
NPI assigned
Aug 31, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X WA Primary

Addresses

Primary practice location

16300 Mill Creek Blvd Ste G1
Mill Creek, WA 98012-1279

Mailing address

16300 Mill Creek Blvd Ste G1
Mill Creek, WA 98012-1279
Phone (206) 554-1381

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1316855422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16300 MILL CREEK BLVD STE G1",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121279",
            "telephone_number": "206-554-1381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16300 MILL CREEK BLVD STE G1",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121279",
            "telephone_number": "425-362-2914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBEVOISE",
        "first_name": "HOLLY",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Creek, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.