Individual provider Active NPI

Trevor Alan Holloway, DNP, FNP-C, RN

  • Family Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1588385124
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
264167 Issued in AZ
Practice address
1121 S Gilbert Rd Ste 101
Mesa, AZ 85204-5235
Phone
(480) 827-5720
NPI assigned
Sep 12, 2022
Last updated
Mar 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 264167 AZ Primary
Emergency Registered Nurse 163WE0003X 264167 AZ

Addresses

Primary practice location

1121 S Gilbert Rd Ste 101
Mesa, AZ 85204-5235

Mailing address

1121 S Gilbert Rd Ste 101
Mesa, AZ 85204-5235
Phone (480) 827-5720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260331002072 AZ Practitioner - Nurse Practitioner 8224513916 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner Urgent Care Services LLCGroup PAC ID 4284921610, 207 clinicians

Practice addresses (Care Compare)

10330 N Scottsdale Rd
Suite 25
Scottsdale, AZ 85253-1427
Phone (602) 255-7625

1215 S Higley Rd
Mesa, AZ 85206-3486
Phone (480) 827-5740

1660 N Higley Rd
Suite 104
Gilbert, AZ 85234-1615
Phone (480) 827-5600

1908 E McKellips Rd
Mesa, AZ 85203-2866
Phone (480) 827-5610

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
264167AZMDEmergency Registered Nurse

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1588385124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 S GILBERT RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045235",
            "telephone_number": "480-827-5720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 S GILBERT RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045235",
            "telephone_number": "480-827-5720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "TREVOR",
        "middle_name": "ALAN",
        "credential": "DNP, FNP-C, RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-12",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "264167",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "AZ",
            "license": "264167",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.