Individual provider Active NPI

Holly Buche

  • Clinical Social Worker
  • Colville, WA
National Provider Identifier
1396351268
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW61498796 Issued in WA
Practice address
358 N Main St
Colville, WA 99114-2310
Phone
(509) 684-1440
NPI assigned
Sep 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X LW61498796 WA Primary

Addresses

Primary practice location

358 N Main St
Colville, WA 99114-2310

Mailing address

358 N Main St
Colville, WA 99114-2310
Phone (509) 684-1440

Other practice location 1

1225 N Argonne Rd Ste 100
Spokane Valley, WA 99212-2798
Phone (509) 505-5315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240624004896 WA Practitioner - Clinical Social Worker 9931642535 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW61498796WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Health Programs Association Multi-Specialty CurrentSince Oct 7, 2025 Accepting new patients
New Health Programs Association Multi-Specialty Current Accepting new patients
South Sound Inpatient Physicians PLLC Multi-Specialty Past Accepting new patients
South Sound Inpatient Physicians PLLC Multi-Specialty Past Accepting new patients

Locations

518 E Clay Ave
Chewelah, WA 99109
Phone (509) 935-6004

358 N Main St
Colville, WA 99114
Phone (509) 684-1440

3994 Colville Rd
Loon Lake, WA 99148
Phone (509) 233-8412

Organizations & group practices 4

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": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1396351268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 N MAIN ST",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991142310",
            "telephone_number": "509-684-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 N MAIN ST",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991142310",
            "telephone_number": "509-684-1440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 N Argonne Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "992122798",
            "country_code": "US",
            "telephone_number": "509-505-5315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCHE",
        "first_name": "HOLLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-16",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61498796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colville, WA

Sources for this page

Verify at the official NPI Registry.