Active NPI
Sonya Denise Holland, D.O.
- Family Medicine Physician
- Stafford, VA
National Provider Identifier
1730142241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0102201597
- Practice address
- 422 Garrisonville Rd
Suite 102
Stafford, VA 22554-1573 - Phone
- (540) 657-4800
- Fax
- (540) 657-4021
- NPI assigned
- Apr 7, 2006
- Last updated
- May 18, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0102201597 | VA | Primary |
Addresses
Primary practice location
422 Garrisonville Rd
Suite 102
Stafford, VA 22554-1573
Mailing address
2300 Fall Hill Ave
Suite 215
Fredericksburg, VA 22401-3342
Phone (540) 374-5097
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010085357 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050105001065 | VA | Practitioner - Family Practice | 2062460116 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305676800000",
"number": "1730142241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 FALL HILL AVE",
"address_2": "SUITE 215",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224013342",
"telephone_number": "540-374-5097",
"fax_number": "540-374-0378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "422 GARRISONVILLE RD",
"address_2": "SUITE 102",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225541573",
"telephone_number": "540-657-4800",
"fax_number": "540-657-4021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "SONYA",
"middle_name": "DENISE",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-07",
"last_updated": "2011-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0102201597",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010085357",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stafford, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; 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.