Holly Christine Addis

Individual provider Active NPI Health & Wellness Coach · Modesto, CA

NPI 1821957341 · NPPES record last updated Jan 20, 2026

Key facts

NPI
1821957341
Entity type
Individual (NPI type 1)
Primary specialty
Health & Wellness Coach 171400000X
License
ABF954CF79 (CA)
Practice address
2000 W Briggsmore Ave, BLDG. B
Modesto, CA 95350-3839
Phone
(209) 526-1476
NPI assigned
Jan 20, 2026
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
ABF954CF79CAMDHealth & Wellness Coach

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Human Services Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X ABF954CF79 CA Yes

Addresses

Primary practice location

2000 W Briggsmore Ave, BLDG. B
Modesto, CA 95350-3839

Mailing address

2000 W Briggsmore Ave, BLDG. B
Modesto, CA 95350-3839
Phone (209) 526-1476

Other providers in Modesto, CA

All providers in Modesto, CA · Health & Wellness Coach in California

Sources for this page

Verify at the official NPI Registry.