Active NPI
Jessica Lynn Hollingshead
- Physical Therapist
- La Quinta, CA
National Provider Identifier
1780229930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 296096
- Practice address
- 79690 Arnold Palmer
La Quinta, CA 92253-4715 - Phone
- (971) 219-5332
- NPI assigned
- Nov 12, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT60848920 | WA | |
| Physical Therapist | 225100000X | 296096 | CA | Primary |
Addresses
Primary practice location
79690 Arnold Palmer
La Quinta, CA 92253-4715
Mailing address
79690 Arnold Palmer
La Quinta, CA 92253-4715
Phone (971) 219-5332
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
| License | State | Type | Specialty |
|---|---|---|---|
| 296096 | CA | MD | Physical Therapist |
| PT60848920 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573516800000",
"number": "1780229930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79690 ARNOLD PALMER",
"city": "LA QUINTA",
"state": "CA",
"postal_code": "922534715",
"telephone_number": "971-219-5332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79690 ARNOLD PALMER",
"city": "LA QUINTA",
"state": "CA",
"postal_code": "922534715",
"telephone_number": "971-219-5332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLINGSHEAD",
"first_name": "JESSICA",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-12",
"last_updated": "2019-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60848920",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "296096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Quinta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.