Individual provider Active NPI

Holland Humble, NP

  • Family Nurse Practitioner
  • Waco, TX
National Provider Identifier
1700338464
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP132426 Issued in TX
Practice address
7702 Central Park Dr
Waco, TX 76712-6535
Phone
(254) 202-7700
NPI assigned
Oct 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP132426 TX Primary

Addresses

Primary practice location

7702 Central Park Dr
Waco, TX 76712-6535

Mailing address

PO Box 848476
Dallas, TX 75284-8476

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hhumble83569@direct.sw.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20161121000367 TX Practitioner - Nurse Practitioner 2567741200 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hillcrest Family Health CenterGroup PAC ID 4183612278, 62 clinicians

Practice addresses (Care Compare)

1001 Hewitt Dr
Waco, TX 76712-8486
Phone (254) 202-7800

2201 Macarthur Dr
Waco, TX 76708-3161
Phone (254) 202-4360

7300 Bosque Blvd
Waco, TX 76710-4023
Phone (254) 202-7700

7702 Central Park Dr
Waco, TX 76712-6535
Phone (254) 202-7700

851 N Loop
340 B S and W H Clinic Bellmead
Waco, TX 76705-2592
Phone (254) 202-7500

Hospital & facility affiliations

  • Baylor Scott & White Medical Center Hillcrest Hospital, Waco, TX, CCN 450101

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Physicians-II, P.a. CurrentSince Feb 1, 2021 Accepting new patients
Scott & White Clinic Current Accepting new patients
Hillcrest Family Health Center CurrentSince Mar 25, 2021 Accepting new patients
Scott & White Clinic CurrentSince Oct 31, 2016 Accepting new patients
Scott and White Clinic CurrentSince Oct 31, 2016 Accepting new patients
Soheil Hekmat, MD, Inc. Past Accepting new patients

Locations

101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

851 N Loop 340
#B
Waco, TX 76705
Phone (254) 202-7500

50 Hillcrest Medical Blvd
Ste 201
Waco, TX 76712
Phone (254) 202-0550

900 Austin Ave
Ste 1001
Waco, TX 76701
Phone (254) 224-8808

9110 Jordan Ln
Ste 200
Woodway, TX 76712
Phone (254) 399-0740

7702 Central Park Dr
Woodway, TX 76712
Phone (254) 202-7700

Interoperability endpoints

  • Direct secure messaging: hhumble83569@direct.sw.org

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1477612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1700338464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848476",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752848476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7702 CENTRAL PARK DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126535",
            "telephone_number": "254-202-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMBLE",
        "first_name": "HOLLAND",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-28",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP132426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hhumble83569@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7702 Central Park Dr",
            "city": "Waco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "767126535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.