Active NPI
Shirley May Holmberg, BA
- Professional Counselor
- Fairbanks, AK
National Provider Identifier
1831304278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 605 Hughes Ave
Fairbanks, AK 99701-7539 - Phone
- (907) 479-0673
- Fax
- (907) 479-0683
- NPI assigned
- May 11, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
605 Hughes Ave
Fairbanks, AK 99701-7539
Mailing address
4452 Woodriver
Fairbanks, AK 99709
Phone (907) 479-0673
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
- Bachelor of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831304278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4452 WOODRIVER",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "99709",
"telephone_number": "907-479-0673",
"fax_number": "907-479-0683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 HUGHES AVE",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997017539",
"telephone_number": "907-479-0673",
"fax_number": "907-479-0683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMBERG",
"first_name": "SHIRLEY",
"middle_name": "MAY",
"name_prefix": "Ms.",
"credential": "BA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.