Organization Active NPI

Holistic Maternity, LLC

Doing business as Holistic Maternity

  • Midwife
  • St Petersburg, FL
National Provider Identifier
1578969200
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
MW268 Issued in FL
Legal business name
HOLISTIC MATERNITY, LLC
Doing business as
Holistic Maternity
Practice address
10460 Roosevelt Blvd N
Suite 179
St Petersburg, FL 33716-3821
Phone
(727) 565-8798
Fax
(727) 497-7913
NPI assigned
Nov 6, 2014
Last updated
Nov 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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

Authorized official

Name
Katrina K Hollon, LM, CPMNPI 1942551346
Title
Owner/Ceo
Phone
(727) 565-8798

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 176B00000X MW268 FL Primary

Addresses

Primary practice location

10460 Roosevelt Blvd N
Suite 179
St Petersburg, FL 33716-3821

Mailing address

10460 Roosevelt Blvd N
Suite 179
St Petersburg, FL 33716-3821
Phone (727) 565-8798

Other names 1

  • Holistic Maternity Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415232000000",
    "number": "1578969200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10460 ROOSEVELT BLVD N",
            "address_2": "SUITE 179",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337163821",
            "telephone_number": "727-565-8798",
            "fax_number": "727-497-7913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10460 ROOSEVELT BLVD N",
            "address_2": "SUITE 179",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337163821",
            "telephone_number": "727-565-8798",
            "fax_number": "727-497-7913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC MATERNITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-06",
        "last_updated": "2014-11-06",
        "status": "A",
        "authorized_official_last_name": "HOLLON",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "727-565-8798",
        "authorized_official_credential": "LM, CPM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": "FL",
            "license": "MW268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holistic Maternity",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.