Holtville Family Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HOLTVILLE FAMILY PRACTICE

Practice address

8502 Holtville Rd
Wetumpka, AL 36092-7664

Phone

(334) 399-9176

NPI assigned

Dec 6, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Carey Williams, CRNPNPI 1225227093

Title

Owner/CRNP

Phone

(334) 399-9176

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17295/brand/1/csg/1/fhir/r4

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carey Williams, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Deatsville, AL
  • NPI 1225227093
  Medicare reassignment Care Compare group NPD Authorized official
• Steven L Allen, MD

  • Family Medicine Physician
  • Millbrook, AL
  • NPI 1508814922
  Medicare reassignment Care Compare group NPD
• Jennifer Hagan Mann, CRNP

  • Nurse Practitioner
  • Deatsville, AL
  • NPI 1063644623
  Medicare reassignment Care Compare group NPD
• Lindsey T Barton, CRNP

  • Nurse Practitioner
  • Montgomery, AL
  • NPI 1215285879
  NPD (past)

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

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1497260889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8502 HOLTVILLE RD",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "360927664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8502 HOLTVILLE RD",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "360927664",
            "telephone_number": "334-399-9176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLTVILLE FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-06",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CAREY",
        "authorized_official_title_or_position": "OWNER/CRNP",
        "authorized_official_telephone_number": "334-399-9176",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haynes Ambulance of Wetumpka
• Haynes Ambulances of Wetumpka, LLC
• Haynes Life Flight LLC
• Helping Hearts Hospice
• Hibbett Optical, LLC
• Hughston Clinic, PC
• Hughston Medical Group, PC
• Andrea Humber
• Heather K Hyde, CRNP
• Innerfit of Wetumpka, LLC

• Family Medicine Physician in Wetumpka, AL
• Providers in Wetumpka, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.