Individual provider Active NPI

Holly Bowron Hainley, NP-C

  • Adult Health Nurse Practitioner
  • La Jolla, CA
National Provider Identifier
1730468943
Registry record updated Aug 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
NP-11997 Issued in CA
Practice address
Univ of Ca San Diego Neuroscience Department
9500 Gilman Drive MC- 0949
La Jolla, CA 92093-0001
Phone
(858) 677-1554
NPI assigned
Aug 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X NP-11997 CA Primary

Addresses

Primary practice location

Univ of Ca San Diego Neuroscience Department
9500 Gilman Drive MC- 0949
La Jolla, CA 92093-0001

Mailing address

Univ of Ca San Diego Neuroscience Department
9500 Gilman Drive MC- 0949
La Jolla, CA 92093-0001
Phone (858) 677-1554

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
NP-11997CAMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312502400000",
    "number": "1730468943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIV OF CA SAN DIEGO NEUROSCIENCE DEPARTMENT",
            "address_2": "9500 GILMAN DRIVE MC- 0949",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920930001",
            "telephone_number": "858-677-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIV OF CA SAN DIEGO NEUROSCIENCE DEPARTMENT",
            "address_2": "9500 GILMAN DRIVE MC- 0949",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920930001",
            "telephone_number": "858-677-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWRON HAINLEY",
        "first_name": "HOLLY",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-05",
        "last_updated": "2011-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "NP-11997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.