Individual provider Active NPI

Hollie Andreana Dewitt, FNP-C

  • Family Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1518664960
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95024293 Issued in CA
Practice address
1611 1St St
Bakersfield, CA 93304-2901
Phone
(661) 336-5300
Fax
(661) 336-5303
NPI assigned
Feb 15, 2023
Last updated
Feb 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95024293 CA Primary

Addresses

Primary practice location

1611 1St St
Bakersfield, CA 93304-2901

Mailing address

1611 1St St
Bakersfield, CA 93304-2901
Phone (661) 336-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230630001843 CA Practitioner - Nurse Practitioner 7012376528 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Sierra Vista CurrentSince Jun 5, 2023 Accepting new patients
Clinica Sierra Vista CurrentSince Jun 5, 2023 Accepting new patients
Clinica Sierra Vista Current Accepting new patients
South West Pediatrics a Medical Corporation PastSince Feb 1, 2023 Accepting new patients
Universal Healthcare Services Inc. Past Accepting new patients
Coastal Kids, a Professional Medical Corporation PastSince Feb 1, 2023 Accepting new patients

Locations

1305 Bear Mountain Blvd
Arvin, CA 93203
Phone (661) 854-3131

1611 1st St
Bakersfield, CA 93304
Phone (661) 336-5300

301 Brundage Ln
Bakersfield, CA 93304
Phone (661) 323-6086

9001 S H St
Bakersfield, CA 93307
Phone (661) 328-4260

Interoperability endpoints

  • Direct secure messaging: hollie.dewitt@2871.securemail.prognocis.com
  • Direct secure messaging: hollie.dewitt@3336.securemail.prognocis.com

Organizations & group practices 6

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": "1676419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1518664960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 1ST ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933042901",
            "telephone_number": "661-336-5300",
            "fax_number": "661-336-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 1ST ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933042901",
            "telephone_number": "661-336-5300",
            "fax_number": "661-336-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWITT",
        "first_name": "HOLLIE",
        "middle_name": "ANDREANA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-15",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95024293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.