Individual provider Active NPI

Judith Lynn Holinsworth, RN

  • Registered Nurse
  • Magalia, CA
National Provider Identifier
1780826404
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
727796 Issued in CA
Practice address
6069 Timber Ridge Drive
Magalia, CA 95954
Phone
(530) 873-2835
NPI assigned
Mar 26, 2009
Last updated
Jan 18, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 727796 CA Primary

Addresses

Primary practice location

6069 Timber Ridge Drive
Magalia, CA 95954

Mailing address

6069 Timber Ridge Dr
Magalia, CA 95954
Phone (530) 873-2835

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
727796CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1238025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326844800000",
    "number": "1780826404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6069 TIMBER RIDGE DR",
            "city": "MAGALIA",
            "state": "CA",
            "postal_code": "95954",
            "telephone_number": "530-873-2835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6069 TIMBER RIDGE DRIVE",
            "city": "MAGALIA",
            "state": "CA",
            "postal_code": "95954",
            "telephone_number": "530-873-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLINSWORTH",
        "first_name": "JUDITH",
        "middle_name": "LYNN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-26",
        "last_updated": "2012-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "727796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Magalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; 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.