Individual provider Active NPI

Holly M Rabisa, MA-P, AAC

  • Phlebotomy Technician
  • Olympia, WA
National Provider Identifier
1538039565
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
License
PC60350039 Issued in WA
Practice address
2404 Heritage CT SW Ste a
Olympia, WA 98502-6047
Phone
(360) 664-2168
NPI assigned
Nov 5, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy Technician 246RP1900X PC60350039 WA Primary

Addresses

Primary practice location

2404 Heritage CT SW Ste a
Olympia, WA 98502-6047

Mailing address

2404 Heritage CT SW Ste a
Olympia, WA 98502-6047

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PC60350039WAMDPhlebotomy Technician

NPI Registry JSON

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

{
    "created_epoch": "1762300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1538039565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 HERITAGE CT SW STE A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985026047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 HERITAGE CT SW STE A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985026047",
            "telephone_number": "360-664-2168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABISA",
        "first_name": "HOLLY",
        "middle_name": "M",
        "credential": "MA-P, AAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-05",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "WA",
            "license": "PC60350039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.