Active NPI
Robyn Louise Holloman, ARNP CNM
- Obstetrics & Gynecology Nurse Practitioner
- Seattle, WA
National Provider Identifier
1396720447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- AP30006793
- Practice address
- 10330 Meridian Ave N
Ste 190
Seattle, WA 98133-9451 - Phone
- (206) 368-6670
- Fax
- (206) 368-6671
- NPI assigned
- Dec 13, 2005
- Last updated
- May 23, 2013
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN00111000 | WA | |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | AP30006793 | WA | Primary |
| Advanced Practice Midwife | 367A00000X | AP30006793 | WA |
Addresses
Primary practice location
10330 Meridian Ave N
Ste 190
Seattle, WA 98133-9451
Mailing address
10330 Meridian Ave N
Ste 190
Seattle, WA 98133-9451
Phone (206) 368-6670
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5411H0 | Other | WA | REGENCE |
| 9642893 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN00111000 | WA | MD | Registered Nurse |
| AP30006793 | WA | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369267200000",
"number": "1396720447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10330 MERIDIAN AVE N",
"address_2": "STE 190",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981339451",
"telephone_number": "206-368-6670",
"fax_number": "206-368-6671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10330 MERIDIAN AVE N",
"address_2": "STE 190",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981339451",
"telephone_number": "206-368-6670",
"fax_number": "206-368-6671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLOMAN",
"first_name": "ROBYN",
"middle_name": "LOUISE",
"credential": "ARNP CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-13",
"last_updated": "2013-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN00111000",
"primary": false
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "WA",
"license": "AP30006793",
"primary": true
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "WA",
"license": "AP30006793",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "5411H0",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9642893",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.