Individual provider Active NPI

Hollye Hahn, ARNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Oak Harbor, WA
National Provider Identifier
1437761988
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61087697 Issued in WA
Practice address
32650 State Route 20 Ste C209
Oak Harbor, WA 98277-2687
Phone
(360) 914-5744
NPI assigned
Aug 17, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61087697 WA Primary

Addresses

Primary practice location

32650 State Route 20 Ste C209
Oak Harbor, WA 98277-2687

Mailing address

316 SE Pioneer Way Ste 106
Oak Harbor, WA 98277-5716
Phone (360) 914-5744

Other practice location 1

1911 E Division St
Mount Vernon, WA 98274-6703
Phone (360) 708-9741

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AP61087697WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Mental Health, PLLC CurrentSince Jan 1, 2021 Accepting new patients
Bywater Medical Consultants PLLC Psychiatric/Mental Health CurrentSince Aug 1, 2020 Accepting new patients

Locations

1911 E Division St
Mount Vernon, WA 98274
Phone (360) 708-9741

32650 State Route 20
Ste C209
Oak Harbor, WA 98277
Phone (360) 914-5744

316 SE Pioneer Way
Oak Harbor, WA 98277
Phone (360) 389-8735

740 SE Pioneer Way
Oak Harbor, WA 98277

Organizations & group practices 2

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": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1437761988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 SE PIONEER WAY STE 106",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982775716",
            "telephone_number": "360-914-5744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32650 STATE ROUTE 20 STE C209",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982772687",
            "telephone_number": "360-914-5744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1911 E Division St",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "WA",
            "postal_code": "982746703",
            "country_code": "US",
            "telephone_number": "360-708-9741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAHN",
        "first_name": "HOLLYE",
        "credential": "ARNP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61087697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.