Individual provider Active NPI

Marianna Holland, CNM

  • Advanced Practice Midwife
  • Glendale, AZ
National Provider Identifier
1356712822
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AP11727 Issued in AZ
Practice address
5622 W Palmaire Ave
Glendale, AZ 85301-2510
Phone
(623) 748-7655
Fax
(602) 926-0999
NPI assigned
Oct 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 99618 MT
Advanced Practice Midwife 367A00000X 101198 MT
Advanced Practice Midwife 367A00000X AP11727 AZ Primary

Addresses

Primary practice location

5622 W Palmaire Ave
Glendale, AZ 85301-2510

Mailing address

5622 W Palmaire Ave
Glendale, AZ 85301-2510
Phone (623) 748-7655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
AP11727AZMDAdvanced Practice Midwife
101198MTMDAdvanced Practice Midwife
99618MTMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
US Dept of HHS CurrentSince Jun 24, 2017 Accepting new patients
Women'S Care Arizona, LLC CurrentSince Oct 21, 2021 Accepting new patients
US Health Dept of Health & Human Services Current Accepting new patients
U S Health Dept of Health & Human Services CurrentSince Jun 24, 2017 Accepting new patients
C. Steven Plimpton Past Accepting new patients
Palm Valley Women'S Care, PLC Past Accepting new patients

Locations

10815 W McDowell Rd
Ste 301
Avondale, AZ 85392
Phone (623) 433-0106

3530 S Val Vista Dr
Ste 202
Gilbert, AZ 85297
Phone (480) 633-6868

2204 S Dobson Rd
Mesa, AZ 85202
Phone (480) 757-6457

9130 W Thomas Rd
Ste A-108
Phoenix, AZ 85037
Phone (623) 433-0106

4747 N 7th St
Ste 150
Phoenix, AZ 85014
Phone (602) 240-2401

650 W Maryland Ave
Ste 1
Phoenix, AZ 85013
Phone (602) 240-2401

515 E Thomas Rd
Phoenix, AZ 85012
Phone (602) 241-1717

669 Agency Main St
Harlem, MT 59526
Phone (406) 353-3100

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": "1444348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1356712822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5622 W PALMAIRE AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853012510",
            "telephone_number": "623-748-7655",
            "fax_number": "602-926-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5622 W PALMAIRE AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853012510",
            "telephone_number": "623-748-7655",
            "fax_number": "602-926-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "MARIANNA",
        "name_prefix": "Dr.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-09",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MT",
            "license": "99618",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MT",
            "license": "101198",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "AZ",
            "license": "AP11727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.