Hannah Holliday, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

018768 Issued in IL

Practice address

3602 Avenue of the Cities
Moline, IL 61265-6126

Phone

(309) 743-1470

NPI assigned

Dec 19, 2019

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• St Luke'S Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD
• Pediatric Group Associates, SC

  • Pediatrics Physician
  • Moline, IL
  • NPI 1114987252
  NPD (past)
• School Health Link Inc

  • Public Health or Welfare Agency
  • Silvis, IL
  • NPI 1003961608
  NPD (past)
• School Health Link, Inc

  • Student Health Clinic/Center
  • Rock Island, IL
  • NPI 1740461698
  NPD (past)
• Transitions NFP

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rock Island, IL
  • NPI 1912284886
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: hholliday945301@direct.unitypoint.org
• FHIR API: https://api.platform.athenahealth.com/5847/brand/1/csg/1/fhir/r4

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

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 24, 2022.

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1801434857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 PACIFIC ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528041501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3602 AVENUE OF THE CITIES",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656126",
            "telephone_number": "309-743-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIDAY",
        "first_name": "HANNAH",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-19",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IL",
            "license": "018768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel J Hogan, DDS
• Sydnee Jean Hogue, APN, ARNP
• Joshua Holeman
• Leslie M Holerud
• Sheri Catlin Holland, M.D.
• Ashlee Kaye Holst, D.O.
• Home Bound Healthcare, Inc.
• Ashley Honts, LMSW, CADC
• Laura Hoover, M.S. CCC/SLP
• William Wesley Hoover, MD

• All providers in Moline, IL
• Pediatric Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.