Individual provider Active NPI

Holly Bri Knudson, FDN, CMTA, HHC

  • Health Educator
  • Sandy, UT
National Provider Identifier
1558740522
Registry record updated May 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
License
174H00000X Issued in UT
Practice address
11433 S High Mountain Cir
Sandy, UT 84092-5510
Phone
(801) 651-7579
NPI assigned
May 23, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X 174H00000X UT Primary

Addresses

Primary practice location

11433 S High Mountain Cir
Sandy, UT 84092-5510

Mailing address

11433 S High Mountain Cir
Sandy, UT 84092-5510
Phone (801) 651-7579

Other names 1

  • Mrs. Holly Bri Roylance Former name

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
174H00000XUTMDHealth Educator

NPI Registry JSON

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

{
    "created_epoch": "1432339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432339200000",
    "number": "1558740522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11433 S HIGH MOUNTAIN CIR",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840925510",
            "telephone_number": "801-651-7579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11433 S HIGH MOUNTAIN CIR",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840925510",
            "telephone_number": "801-651-7579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUDSON",
        "first_name": "HOLLY",
        "middle_name": "BRI",
        "name_prefix": "Mrs.",
        "credential": "FDN, CMTA, HHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-23",
        "last_updated": "2015-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "UT",
            "license": "174H00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "ROYLANCE",
            "middle_name": "BRI",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sandy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2015; 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.