Individual provider Active NPI

Erica Holwager

  • Behavior Analyst
  • Queen Creek, AZ
National Provider Identifier
1356599435
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
18521 E Queen Creek Rd
Suite 105-627
Queen Creek, AZ 85142-5866
Phone
(480) 361-1025
NPI assigned
Sep 3, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

18521 E Queen Creek Rd
Suite 105-627
Queen Creek, AZ 85142-5866

Mailing address

18521 E Queen Creek Rd
Suite 105-627
Queen Creek, AZ 85142-5866

Other identifiers 1

IdentifierTypeStateIssuer
26216969985242A002OtherAZTRICARE

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Positive ABA Behavior Analyst Current Accepting new patients
Positiveaba Behavior Analyst Current Accepting new patients

Locations

18521 E Queen Creek Rd
Ste 105627
Queen Creek, AZ 85142
Phone (480) 361-1025

1720 10th Ave S
Ste 4150
Great Falls, MT 59405
Phone (480) 361-1025

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1356599435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18521 E QUEEN CREEK RD",
            "address_2": "SUITE 105-627",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851425866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18521 E QUEEN CREEK RD",
            "address_2": "SUITE 105-627",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851425866",
            "telephone_number": "480-361-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLWAGER",
        "first_name": "ERICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "26216969985242A002",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.