Individual provider Active NPI

Deborah Ernstein Holley Hartzfeld, MS

  • Genetic Counselor (M.S.)
  • Salt Lake City, UT
National Provider Identifier
1790059038
Registry record updated Jul 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
License
8287401-3601 Issued in UT
Practice address
615 Arapeen Drive #212
Salt Lake City, UT 84148
Phone
(415) 794-4156
NPI assigned
Mar 5, 2012
Last updated
Jul 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Genetic Counselor (M.S.) 170300000X
Genetic Counselor (M.S.) 170300000X 8287401-3601 UT Primary

Addresses

Primary practice location

615 Arapeen Drive #212
Salt Lake City, UT 84148

Mailing address

500 Foothil Drive - 10P4E
Salt Lake City, UT 84148
Phone (415) 794-4156

Other names 1

  • Ms. Deborah Ernstein Holley Former name

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
Master of Science

State licenses

LicenseStateTypeSpecialty
8287401-3601UTMDGenetic Counselor (M.S.)

NPI Registry JSON

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436140800000",
    "number": "1790059038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 FOOTHIL DRIVE - 10P4E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84148",
            "telephone_number": "415-794-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 ARAPEEN DRIVE #212",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84148",
            "telephone_number": "415-794-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTZFELD",
        "first_name": "DEBORAH",
        "middle_name": "ERNSTEIN HOLLEY",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-05",
        "last_updated": "2015-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "UT",
            "license": "8287401-3601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "HOLLEY",
            "middle_name": "ERNSTEIN",
            "prefix": "MS.",
            "credential": "MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; 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.