Kasey Hollandsworth, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

TP8846 Issued in AZ

Practice address

1595 E River Rd Ste 201
Tucson, AZ 85718-5984

Phone

(520) 293-5757

Fax

(520) 293-7358

NPI assigned

Jul 25, 2016

Last updated

Nov 11, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, AZ2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sheftel and Associates Dermatology LLPGroup PAC ID 7911990304, 18 clinicians

Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Gilbert, AZ
  • NPI 1396340162
  Medicare reassignment Care Compare group
• Sheftel & Associates Dermatology, LLP

  • Specialist
  • Tucson, AZ
  • NPI 1750380697
  Medicare reassignment Care Compare group
• Advanced Diagnostic Imaging, PC

  dba AdvancedHealth

  • Internal Medicine Physician
  • Goodlettsville, TN
  • NPI 1093741464

  Physician Assistant

  Medicare reassignment NPD
• Fast Pace Medical Clinic PLLC

  • Family Medicine Physician
  • Spring Hill, TN
  • NPI 1134452865
  Medicare reassignment NPD
• Pinnacle Dermatology, SC

  • Dermatology Physician
  • Joliet, IL
  • NPI 1861930984

  TN

  Medicare reassignment
• Arizona Associates in Dermatology and Cosmetic Surgery, LLC

  dba Arizona Dermatology Group

  • Dermatology Physician
  • Prescott, AZ
  • NPI 1659467397
  NPD
• Forefront Dermatology, S.C.

  dba Arizona Dermatology Group, a Forefront Dermatology Practice

  • Dermatology Physician
  • Prescott, AZ
  • NPI 1417782665
  NPD
• Advanced Diagnostic Imaging PC

  dba Ankle and Foot Centers of Nashville

  • Durable Medical Equipment & Medical Supplies
  • Lewisburg, TN
  • NPI 1922846559
  NPD
• Fast Pace Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Chapel Hill, TN
  • NPI 1316602774
  NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Columbus, OH
  • NPI 1063365385
  NPD

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

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1356894554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 E RIVER RD STE 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185984",
            "telephone_number": "520-293-5757",
            "fax_number": "520-293-7358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 E RIVER RD STE 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185984",
            "telephone_number": "520-293-5757",
            "fax_number": "520-293-7358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1725 Medical Center Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371292250",
            "country_code": "US",
            "telephone_number": "615-893-4100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18855 S La Canada Dr",
            "address_purpose": "LOCATION",
            "city": "Sahuarita",
            "state": "AZ",
            "postal_code": "856298004",
            "country_code": "US",
            "telephone_number": "520-293-5757",
            "fax_number": "520-293-7358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8290 S Houghton Rd Ste 190",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857479723",
            "country_code": "US",
            "telephone_number": "520-293-5757",
            "fax_number": "520-293-7358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2295 E Vistoso Commerce Loop",
            "address_purpose": "LOCATION",
            "city": "Oro Valley",
            "state": "AZ",
            "postal_code": "857559182",
            "country_code": "US",
            "telephone_number": "520-293-5757",
            "fax_number": "520-293-7358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5190 E Farness Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857122142",
            "country_code": "US",
            "telephone_number": "520-293-5757",
            "fax_number": "520-293-7358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLANDSWORTH",
        "first_name": "KASEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-25",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "3285",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "TP8846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee Holland, PT, DPT
• Mary Kathleen Holland, MSN, RN
• Carol Hollander, CMFT
• Corina Maya Hollander, DPM
• Steven Barry Hollander, DPM
• Barbara C. Hollembaek, NCSP
• Kyla Nicole Hollen, D.M.D.
• Kimberly Hollenbeck, LPN
• Aimee Holley, LMT
• Jared Holley, MD

• Physician Assistant in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.