Individual provider Active NPI

Heather Nicole Holland, CNP

  • Ambulatory Women's Health Care Registered Nurse
  • Hyannis, MA
National Provider Identifier
1811645526
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Women's Health Care Registered NurseTaxonomy code 163WW0101X
License
RN2366153 Issued in MA
Practice address
43 Lewis Bay Rd
Hyannis, MA 02601-5235
Phone
(774) 552-6050
NPI assigned
Mar 11, 2022
Last updated
Aug 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 8790 MN
Ambulatory Women's Health Care Registered Nurse 163WW0101X RN2366153 MA Primary

Addresses

Primary practice location

43 Lewis Bay Rd
Hyannis, MA 02601-5235

Mailing address

7 Charles Joseph Dr
Dartmouth, MA 02747-6246
Phone (320) 237-3795

Other names 1

  • Heather Nicole Dockendorf Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220815000187 MA Practitioner - Nurse Practitioner 7618350273 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Georgetown University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southcoast Physicians Group IncGroup PAC ID 0749171957, 875 clinicians

Practice addresses (Care Compare)

100 Rosebrook Way
Wareham, MA 02571-1138
Phone (508) 273-4900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.3 of 100Reported as group
Quality
71.45
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2366153MAMDAmbulatory Women's Health Care Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Southcoast Physicians Group, Inc. CurrentSince Apr 7, 2025 Accepting new patients
Physicians of Cape Cod Hospital CurrentSince Sep 19, 2022 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Apr 7, 2025 Accepting new patients
Cape Cod Healthcare, Inc PastSince Sep 19, 2022 Accepting new patients

Locations

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

297 North St
Ste 221
Hyannis, MA 02601
Phone (508) 862-5032

40 Quinlan Way
Ste 150
Hyannis, MA 02601
Phone (508) 593-4095

101 Page St
New Bedford, MA 02740
Phone (508) 961-5425

100 Rosebrook Way
Wareham, MA 02571
Phone (508) 273-4950

Interoperability endpoints

  • Direct secure messaging: hholland83890@direct.southcoast.org

Organizations & group practices 4

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1811645526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CHARLES JOSEPH DR",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027476246",
            "telephone_number": "320-237-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 LEWIS BAY RD",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026015235",
            "telephone_number": "774-552-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "HEATHER",
        "middle_name": "NICOLE",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-11",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "8790",
            "primary": false
        },
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "MA",
            "license": "RN2366153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "DOCKENDORF",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hyannis, MA

Sources for this page

Verify at the official NPI Registry.