Active NPI
Emily Hollis, PA-C
- Physician Assistant
- Tacoma, WA
National Provider Identifier
1487084646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9110388
- Practice address
- 9040 Jackson Avenue
Tacoma, WA 98431-2301 - Phone
- (281) 520-1508
- NPI assigned
- Nov 25, 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | TX | ||
| Physician Assistant | 363A00000X | PA08668 | TX | |
| Physician Assistant | 363A00000X | PA9110388 | FL | Primary |
Addresses
Primary practice location
9040 Jackson Avenue
Tacoma, WA 98431-2301
Mailing address
909 Frostwood Dr
Ste 1.100
Houston, TX 77024
Phone (713) 338-4523
Other practice location 1
909 Frostwood Dr
Ste 1.100
Houston, TX 77024-2301
Phone (713) 338-4523
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | dontknow |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9110388 | FL | MD | Physician Assistant |
| PA08668 | TX | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615334400000",
"number": "1487084646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 FROSTWOOD DR",
"address_2": "STE 1.100",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77024",
"telephone_number": "713-338-4523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9040 JACKSON AVENUE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984312301",
"telephone_number": "281-520-1508"
}
],
"practiceLocations": [
{
"address_1": "909 Frostwood Dr",
"address_2": "Ste 1.100",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770242301",
"country_code": "US",
"telephone_number": "713-338-4523",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLLIS",
"first_name": "EMILY",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-25",
"last_updated": "2021-03-10",
"certification_date": "2021-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA08668",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9110388",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "dontknow",
"affiliation": "N",
"endpointDescription": "dontknow",
"address_1": "9040 Jackson Avenue",
"city": "Tacoma",
"state": "WA",
"country_code": "US",
"postal_code": "984312301",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.