Active NPI
Holly S Dimeglio, ANP
- Psychiatric/Mental Health Nurse Practitioner
- Anchorage, AK
National Provider Identifier
1629142195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 928
- Practice address
- 1407 W 31St Ave
Suite 301
Anchorage, AK 99503-3678 - Phone
- (907) 644-3968
- Fax
- (907) 644-3969
- NPI assigned
- Nov 17, 2006
- Last updated
- Oct 20, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 928 | AK | Primary |
| Registered Nurse | 163W00000X | 928 | AK |
Addresses
Primary practice location
1407 W 31St Ave
Suite 301
Anchorage, AK 99503-3678
Mailing address
PO Box 111602
Anchorage, AK 99511-1602
Phone (907) 644-3968
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP09282 | Medicaid | AK |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 928 | AK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holly Dimeglio, Anp | Psychiatric/Mental Health | Past | Accepting new patients |
| Providence Health & Services - Washington | Past | Accepting new patients |
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Anchorage, AK
- NPI 1407189764
-
dba Providence Medical Group Alaska
- Psychiatry Physician
- Anchorage, AK
- NPI 1538254347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255996800000",
"number": "1629142195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 111602",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995111602",
"telephone_number": "907-644-3968",
"fax_number": "907-644-3969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1407 W 31ST AVE",
"address_2": "SUITE 301",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995033678",
"telephone_number": "907-644-3968",
"fax_number": "907-644-3969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIMEGLIO",
"first_name": "HOLLY",
"middle_name": "S",
"credential": "ANP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-17",
"last_updated": "2009-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AK",
"license": "928",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AK",
"license": "928",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP09282",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.