Lisa Hollis

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

524552 Issued in CA

Practice address

1525 Mesa Verde Dr E Ste 200
Costa Mesa, CA 92626-5261

Phone

(714) 437-5665

NPI assigned

Aug 22, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1437878733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 MESA VERDE DR E STE 200",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 MESA VERDE DR E STE 200",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265261",
            "telephone_number": "714-437-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIS",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "524552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Ipad",
            "affiliation": "N",
            "endpointDescription": "DrChrono",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1525 Mesa Verde Dr E Ste 200",
            "city": "Costa Mesa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926265261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Megan Holder, BA
• Kaylie Marie Holke, MA, CCC-SLP
• Lola Hollibaugh
• Julie Michele Hollinger, DC
• Joshua A Hollins
• Aria N Holmes
• Craig Jeffrey Holmes, CTRS
• Kaiulani Holmquist
• Savannah Hailey Holster
• Cynthia Holte, RN

• Registered Nurse in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.