Active NPI
Ana C Holliday, PA
- Physician Assistant
- Weston, WI
National Provider Identifier
1548294887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2011
- Practice address
- 3400 Ministry Pkwy
Suite 200
Weston, WI 54476-5220 - Phone
- (715) 393-3000
- NPI assigned
- Jul 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2011 | WI | Primary |
Addresses
Primary practice location
3400 Ministry Pkwy
Suite 200
Weston, WI 54476-5220
Mailing address
3400 Ministry Pkwy
Weston, WI 54476-5220
Phone (715) 393-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 391022500 | Other | WI | TRICARE HEALTHNET |
Other names 1
- Ana C Thwaits
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011 | WI | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290038400000",
"number": "1548294887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 MINISTRY PKWY",
"city": "WESTON",
"state": "WI",
"postal_code": "544765220",
"telephone_number": "715-393-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 MINISTRY PKWY",
"address_2": "SUITE 200",
"city": "WESTON",
"state": "WI",
"postal_code": "544765220",
"telephone_number": "715-393-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLIDAY",
"first_name": "ANA",
"middle_name": "C",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2010-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "2011",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE HEALTHNET",
"identifier": "391022500",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANA",
"last_name": "THWAITS",
"middle_name": "C",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Weston, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.