Holly Jean Hitchcock, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP60099628 Issued in WA

Practice address

14434 Ambaum Blvd SW
Suite 5
Burien, WA 98166-1438

Phone

(206) 812-6140

Fax

(206) 812-6177

NPI assigned

Aug 28, 2009

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carbon Health Medical Group of Florida PAGroup PAC ID 3274947304, 55 clinicians

Carbon Health Medical Group of Washington PCGroup PAC ID 7618455882, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Carbon Health Medical Group of Florida PA

  • Urgent Care Clinic/Center
  • Bellevue, WA
  • NPI 1689249096

  WA

  Medicare reassignment Care Compare group NPD
• Carbon Health Medical Group of Washington PC

  • Urgent Care Clinic/Center
  • Puyallup, WA
  • NPI 1831900422

  WA

  Medicare reassignment Care Compare group NPD
• Sea Mar Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Aberdeen, WA
  • NPI 1811051170

  Family, WA

  Medicare reassignment NPD
• Carbon Health Medical Group of Florida PA

  • Urgent Care Clinic/Center
  • Richmond, VA
  • NPI 1205417615
  Care Compare group
• Carbon Health Medical Group of Florida PA

  • Urgent Care Clinic/Center
  • Dresher, PA
  • NPI 1225619638
  Care Compare group
• Carbon Health Medical Group of Florida PA

  • Urgent Care Clinic/Center
  • Columbus, OH
  • NPI 1295316602
  Care Compare group
• Carbon Health Medical Group of Florida PA

  • Urgent Care Clinic/Center
  • Mobile, AL
  • NPI 1376145821
  Care Compare group
• Carbon Health Medical Group of Florida PA

  • Urgent Care Clinic/Center
  • Austin, TX
  • NPI 1477155331
  Care Compare group
• Carbon Health Medical Group of Florida PA

  • Urgent Care Clinic/Center
  • Portland, OR
  • NPI 1588269021
  Care Compare group
• Carbon Health Medical Group of Florida PA

  • Urgent Care Clinic/Center
  • Littleton, CO
  • NPI 1730781691
  Care Compare group
• Carbon Health Medical Group of Florida PA

  • Urgent Care Clinic/Center
  • Boston, MA
  • NPI 1881261303
  Care Compare group
• Carbon Health Medical Group of Florida PA

  • Urgent Care Clinic/Center
  • Davie, FL
  • NPI 1942812763
  Care Compare group

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

{
    "created_epoch": "1251417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1881827558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34703",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241703",
            "telephone_number": "206-764-3335",
            "fax_number": "206-764-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14434 AMBAUM BLVD SW",
            "address_2": "SUITE 5",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981661438",
            "telephone_number": "206-812-6140",
            "fax_number": "206-812-6177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9230 Sky Island Dr E",
            "address_purpose": "LOCATION",
            "city": "Bonney Lake",
            "state": "WA",
            "postal_code": "983917385",
            "country_code": "US",
            "telephone_number": "253-750-6000",
            "fax_number": "253-750-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HITCHCOCK",
        "first_name": "HOLLY",
        "middle_name": "JEAN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-28",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60099628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2004096",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hhitchcock69385@fhsce.catholichealth.net",
            "affiliation": "Y",
            "affiliationName": "Franciscan Medical Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9230 Sky Island Dr E",
            "city": "Bonney Lake",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983917385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Highline Women'S Clinic
• Carter D. Hill, M.D.
• Ginger Hill
• Mary K Hill, MSW, LICSW
• Megan Geneva Hill, AUD
• Amy Ho, D.D.S.
• John Sheldon Hoag, D.D.S.
• Robin Hoefer
• Jeffrey Cameron Hoff, D.O.
• Monica Hoffmann, LPN

• All providers in Burien, WA
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.