Tyler Hollmann

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

12870044-4810 Issued in UT

Practice address

7321 Balmer St # 570
Hill AFB, UT 84056-5012

Phone

(801) 586-2273

NPI assigned

Oct 21, 2020

Last updated

Oct 4, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1548869555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1467 N 1375 W",
            "city": "CLINTON",
            "state": "UT",
            "postal_code": "840156623",
            "telephone_number": "805-315-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7321 BALMER ST # 570",
            "city": "HILL AFB",
            "state": "UT",
            "postal_code": "840565012",
            "telephone_number": "801-586-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLMANN",
        "first_name": "TYLER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-21",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "UT",
            "license": "12870044-4810",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT8405",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyson Hazard
• Kristina Hernandez, LCSW
• Stacey Marchus Hickman, PT
• Hani Hijazi, D.D.S.
• Mark Edward Hoggan, MD
• Michael R Humphrey, WHNP-BC, FNP-C
• Joseph Anthony Huseman II, MD
• Kelly Johnson
• Vanessa Jones
• Daniel Jacob Kardouni, MA,LD,RD

• Athletic Trainer in Hill AFB, UT
• Providers in Hill AFB, UT by specialty
• Athletic Trainer in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.