Individual provider Active NPI

Holly Nicole Laub, DO

  • Neurology Physician
  • Sun City, AZ
National Provider Identifier
1609339860
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
010307 Issued in AZ
Practice address
10515 W Santa Fe Dr
Sun City, AZ 85351-3020
Phone
(623) 832-6500
NPI assigned
Apr 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 010307 AZ Primary

Addresses

Primary practice location

10515 W Santa Fe Dr
Sun City, AZ 85351-3020

Mailing address

10515 W Santa Fe Dr
Sun City, AZ 85351-3020
Phone (623) 832-6500

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250919001636 AZ Practitioner - NeurologyPractitioner - Psychiatry 2769716091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Psychiatry
Education
Arizona College of Osteopathic Medicine Mid Western University, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Banner Alzheimers InstituteGroup PAC ID 8527070101, 30 clinicians

Practice addresses (Care Compare)

10515 W Santa Fe Dr
BLDG B 1St Floor
Sun City, AZ 85351-3020
Phone (623) 832-6530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Alzheimer's Institute CurrentSince Sep 14, 2025 Accepting new patients
Banner Alzheimer's Institute CurrentSince Sep 14, 2025 Accepting new patients
Banner Sun City Medical Group Past Accepting new patients

Locations

901 E Willetta St
Fl 1
Phoenix, AZ 85006
Phone (602) 839-6901

901 E Willetta St
Fl 3
Phoenix, AZ 85006
Phone (602) 239-6900

10515 W Santa Fe Dr
Bldg B1
Sun City, AZ 85351

10515 W Santa Fe Dr
Bldg B
Sun City, AZ 85351
Phone (623) 832-6500

10515 W Santa Fe Dr
Sun City, AZ 85351
Phone (623) 584-2919

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1609339860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10515 W SANTA FE DR",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513020",
            "telephone_number": "623-832-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10515 W SANTA FE DR",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513020",
            "telephone_number": "623-832-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUB",
        "first_name": "HOLLY",
        "middle_name": "NICOLE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-12",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "010307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

Verify at the official NPI Registry.