Audrey Holland

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

0109418 Issued in CO

Practice address

2965 East 109TH Avenue
Specialty Foot Care LLC
Northglenn, CO 80233

Phone

(303) 980-0015

NPI assigned

Sep 1, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1376090977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2965 E 109TH AVE",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802335475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2965 EAST 109TH AVENUE",
            "address_2": "SPECIALTY FOOT CARE LLC",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "80233",
            "telephone_number": "303-980-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "AUDREY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "0109418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Ho, L.AC
• Jennifer Hodges
• Stefanie Rebecca Holder
• Hannah Whitney Holiday, DNP, FNP-C
• Holistic Souls Therapy PLLC
• Lindsey Grace Holland, OD
• Sydney Holtman
• Honeyman Services, LLC.
• Stacey Honeyman
• Hope for Tomorrow Counseling, LLC

• All providers in Northglenn, CO
• Registered Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.