Individual provider Active NPI

Emily Elizabeth Holden, ARNP

  • Adult Health Nurse Practitioner
  • Bellingham, WA
National Provider Identifier
1457975104
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP61187066 Issued in WA
Practice address
1310 10TH St Ste 104
Bellingham, WA 98225-7026
Phone
(360) 594-0592
Fax
(360) 526-2165
NPI assigned
May 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP61187066 WA Primary

Addresses

Primary practice location

1310 10TH St Ste 104
Bellingham, WA 98225-7026

Mailing address

1310 10TH St Ste 104
Bellingham, WA 98225-7026
Phone (360) 594-0592

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220803003360 WA Practitioner - Nurse Practitioner 4880090109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Care Network, PLLCGroup PAC ID 0446142046, 124 clinicians

Practice addresses (Care Compare)

1310 10TH St
Suite 104
Bellingham, WA 98225-7026
Phone (360) 594-0592

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP61187066WAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Network PLLC Current Accepting new patients
Family Care Network PLLC CurrentSince Jul 6, 2022 Accepting new patients
Family Care Network PLLC CurrentSince Jul 6, 2022 Accepting new patients

Locations

1310 10th St
Ste 104
Bellingham, WA 98225
Phone (360) 594-0592

1610 Grover St
Ste D1
Lynden, WA 98264
Phone (360) 312-3785

Interoperability endpoints

  • Direct secure messaging: emily.holden.1@20857.direct.athenahealth.com
  • Direct secure messaging: eholden19605@direct.fcn.net

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1457975104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 10TH ST STE 104",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982257026",
            "telephone_number": "360-594-0592",
            "fax_number": "360-526-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 10TH ST STE 104",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982257026",
            "telephone_number": "360-594-0592",
            "fax_number": "360-526-2165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDEN",
        "first_name": "EMILY",
        "middle_name": "ELIZABETH",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-28",
        "last_updated": "2022-06-17",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP61187066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.