Active NPI
Marianna Holland, CNM
- Advanced Practice Midwife
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- AP11727
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP11727 | AZ | MD | Advanced Practice Midwife |
| 101198 | MT | MD | Advanced Practice Midwife |
| 99618 | MT | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| US Dept of HHS | Current | Accepting new patients | |
| Women'S Care Arizona, LLC | Current | Accepting new patients | |
| US Health Dept of Health & Human Services | Current | Accepting new patients | |
| U S Health Dept of Health & Human Services | Current | 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.
-
- Obstetrics Physician
- Phoenix, AZ
- NPI 1942977624
-
- Critical Access Hospital
- Lodge Grass, MT
- NPI 1750410395
-
- Clinic/Center
- Lame Deer, MT
- NPI 1053487991
-
- Rural Health Clinic/Center
- Poplar, MT
- NPI 1972694602
-
- Obstetrics & Gynecology Physician
- Phoenix, AZ
- NPI 1225398233
-
- Gynecology Physician
- Goodyear, AZ
- NPI 1184677080
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.