Cindy K Hollenbaugh, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD00033799 Issued in WA

Practice address

1919 S Grand Blvd
Spokane, WA 99203-2347

Phone

(509) 747-3081

NPI assigned

Jul 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1699705160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990190421",
            "telephone_number": "509-747-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 S GRAND BLVD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032347",
            "telephone_number": "509-747-3081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLENBAUGH",
        "first_name": "CINDY",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD00033799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8193815",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chollenbaugh309396@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1919 S Grand Blvd",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992032347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Holistic Behavioral Health
• Douglas Brian Holl, M.D.
• Erin Rose Holland-Wolf, MSN, RN, APRN, CCRN
• Rebecca Jo Holland, LPC, LMHCA
• Kaylor William Hollen, RN
• Garret Holley
• Andria Hollingshead, LMHP, LADC, CPC, NCC
• Katherine Anne Hollingsworth, LICSW, SUDP
• Holly Hollis, LMSW
• Rita Hollis

• Pediatrics Physician in Spokane, WA
• Providers in Spokane, WA by specialty
• Pediatrics Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.