Deborah Faye Hollingsworth, MSN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

N-33941, NP-701A Issued in ID

Practice address

3777 Van Dussen Rd
Emmett, ID 83617-9549

Phone

(208) 365-0890

Fax

(208) 365-0950

NPI assigned

Jul 8, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

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.

• Gem Family Medicine LLC

  • Family Medicine Physician
  • Emmett, ID
  • NPI 1720362775
  NPD (past)

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871591339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1015",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836171015",
            "telephone_number": "208-365-0890",
            "fax_number": "208-365-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3777 VAN DUSSEN RD",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836179549",
            "telephone_number": "208-365-0890",
            "fax_number": "208-365-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLINGSWORTH",
        "first_name": "DEBORAH",
        "middle_name": "FAYE",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "N-33941, NP-701A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Hewett, HIS
• Hines Orthopedics and Sports Medicine, PLLC
• Jerod L Hines, M.D.
• Bradley Scott Hogue, PHARMD
• Karen Leah Holland, RRT
• Hollis Family Pharmacy LLC
• James Hollis
• Michelle Holt, DPT
• Evelynn L. Horton, LCSW
• Jason L Howard, O.D.

• Family Nurse Practitioner in Emmett, ID
• Providers in Emmett, ID by specialty
• Family Nurse Practitioner in Idaho

• 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.

Verify at the official NPI Registry.