Active NPI
Debra Lee Hollander, CNM
- Advanced Practice Midwife
- Springfield, IL
National Provider Identifier
1497846604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 209-007986
- Practice address
- 520 N 4TH St
Springfield, IL 62702-5238 - Phone
- (217) 757-8100
- Fax
- (217) 747-1351
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- Sole proprietor
- No
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
- Certified Nurse Midwife
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 209-007986 | IL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
520 N 4TH St
Springfield, IL 62702-5238
Mailing address
PO Box 19670
Springfield, IL 62794-9670
Phone (217) 757-8100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 7, 2010.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278460800000",
"number": "1497846604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19670",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627949670",
"telephone_number": "217-757-8100",
"fax_number": "217-747-1351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 N 4TH ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627025238",
"telephone_number": "217-757-8100",
"fax_number": "217-747-1351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLANDER",
"first_name": "DEBRA",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2010-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "IL",
"license": "209-007986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.