Maximillian Holliday, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP3023212 Issued in FL

Practice address

611 E Sherman Ave
Coeur D Alene, ID 83814-2732

Phone

(208) 930-4944

Fax

(888) 443-4939

NPI assigned

Sep 5, 2007

Last updated

Aug 12, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID, WA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: maximillian.holliday@199603245678596.direct.elationemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Unlimited Health Chiropractic

  • Chiropractor
  • Coeur d'Alene, ID
  • NPI 1639402530
  Medicare reassignment NPD
• Liberty Lake Chiropractic PS

  dba Spokane Spine and Disc

  • Chiropractor
  • Liberty Lake, WA
  • NPI 1316116262

  Family

  Medicare reassignment NPD
• Unlimited Health Chiropractic

  • General Practice Physician
  • Coeur d'Alene, ID
  • NPI 1366098774

  Family

  NPD
• Solantic LLC

  • Urgent Care Clinic/Center
  • Jacksonville, FL
  • NPI 1609822592
  NPD (past)

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1487848289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E NEIDER AVE STE 103",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838156007",
            "telephone_number": "208-930-4944",
            "fax_number": "888-443-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 E SHERMAN AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142732",
            "telephone_number": "208-930-4944",
            "fax_number": "888-443-4939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIDAY",
        "first_name": "MAXIMILLIAN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-05",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP3023212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Marie Holasek, LCPC
• Douglas D Holcomb, RN
• Pamela K. Holcomb, NP
• Angela Holland, M.S.
• Sierra Lynn Hollar, DO
• Audra Holm, D.C.
• Robert G Holman, MD
• Arleta Holmes, HIS
• Hometown Family Chiropractic, PLLC
• Honest Nutrition, LLC

• Family Nurse Practitioner in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.