Active NPI
Jennifer Holzwarth, PHYSICIANS ASSISTANT
- Physician Assistant
- Albuquerque, NM
National Provider Identifier
1851473896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA20060045
- Practice address
- 2001 N Centro Familiar SW
Albuquerque, NM 87105 - Phone
- (505) 873-7400
- Fax
- (505) 873-7444
- NPI assigned
- Oct 19, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA20060045 | NM | Primary |
Addresses
Primary practice location
2001 N Centro Familiar SW
Albuquerque, NM 87105
Mailing address
2001 N Centro Familiar SW
Albuquerque, NM 87105
Phone (505) 873-7400
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4505 | AZ | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851473896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 N CENTRO FAMILIAR SW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87105",
"telephone_number": "505-873-7400",
"fax_number": "505-873-7444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 N CENTRO FAMILIAR SW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87105",
"telephone_number": "505-873-7400",
"fax_number": "505-873-7444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLZWARTH",
"first_name": "JENNIFER",
"credential": "PHYSICIANS ASSISTANT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NM",
"license": "PA20060045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
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.