Individual provider Active NPI

Holly Westmoreland

  • Obstetrics & Gynecology Physician
  • Shenandoah, TX
National Provider Identifier
1497704795
Registry record updated Apr 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
L9545 Issued in TX
Practice address
17183 I 45 S Ste 610
Shenandoah, TX 77385-3315
Phone
(281) 364-9898
Fax
(281) 292-0400
NPI assigned
May 6, 2006
Last updated
Apr 18, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X L9545 TX Primary

Addresses

Primary practice location

17183 I 45 S Ste 610
Shenandoah, TX 77385-3315

Mailing address

17183 I 45 S Ste 610
Shenandoah, TX 77385-3315
Phone (281) 364-9898

Other identifiers 2

IdentifierTypeStateIssuer
171464402MedicaidTX
8R8341OtherTXBLUE CROSS & BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Feb 12, 2019 through Feb 12, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L9545TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Women of the Woodlands Obstetrics and Gynecology PA Obstetrics & Gynecology Past Accepting new patients
Noble Anesthesia Partners, PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: holly.westmoreland.1@11541.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524009600000",
    "number": "1497704795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17183 I 45 S STE 610",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773853315",
            "telephone_number": "281-364-9898",
            "fax_number": "281-292-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17183 I 45 S STE 610",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773853315",
            "telephone_number": "281-364-9898",
            "fax_number": "281-292-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTMORELAND",
        "first_name": "HOLLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-06",
        "last_updated": "2018-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "L9545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171464402",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "8R8341",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.