Organization Active NPI

Holistic and Family Healthcare

  • Nurse Practitioner
  • Papillion, NE
National Provider Identifier
1790039931
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
HOLISTIC AND FAMILY HEALTHCARE
Practice address
535 Fortune Dr Ste 100
Papillion, NE 68046-3429
Phone
(402) 933-2222
Fax
(402) 505-3886
NPI assigned
Nov 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2012

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

Authorized official

Name
Karla R Blackwood, APRNNPI 1568530590
Title
Owner
Phone
(402) 933-2222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

535 Fortune Dr Ste 100
Papillion, NE 68046-3429

Mailing address

535 Fortune Dr Ste 100
Papillion, NE 68046-3429
Phone (402) 933-2222

National Provider Directory

National Provider Directory

Locations

535 Fortune Dr
Ste 100
Papillion, NE 68046
Phone (402) 502-4488

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352332800000",
    "number": "1790039931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 FORTUNE DR STE 100",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680463429",
            "telephone_number": "402-933-2222",
            "fax_number": "402-505-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 FORTUNE DR STE 100",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680463429",
            "telephone_number": "402-933-2222",
            "fax_number": "402-505-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC AND FAMILY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-08",
        "last_updated": "2012-11-08",
        "status": "A",
        "authorized_official_last_name": "BLACKWOOD",
        "authorized_official_first_name": "KARLA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-933-2222",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Papillion, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.