Individual provider Active NPI

Holly Stair-Goshu, FNP

  • Family Nurse Practitioner
  • Katy, TX
National Provider Identifier
1861024226
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP138485 Issued in TX
Practice address
25722 Kingsland Blvd Ste 111
Katy, TX 77494-2642
Phone
(281) 391-0190
NPI assigned
Feb 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP138485 TX Primary

Addresses

Primary practice location

25722 Kingsland Blvd Ste 111
Katy, TX 77494-2642

Mailing address

2019 Autumn Fern Dr
Katy, TX 77450-6673
Phone (832) 754-3677

Other practice location 1

2019 Autumn Fern Dr
Katy, TX 77450-6673
Phone (832) 754-3677

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

State licenses

LicenseStateTypeSpecialty
AP138485TXMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1861024226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 AUTUMN FERN DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774506673",
            "telephone_number": "832-754-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25722 KINGSLAND BLVD STE 111",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774942642",
            "telephone_number": "281-391-0190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2019 Autumn Fern Dr",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774506673",
            "country_code": "US",
            "telephone_number": "832-754-3677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAIR-GOSHU",
        "first_name": "HOLLY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-04",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP138485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; 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.