Individual provider Active NPI

Marie L Holt, ARNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1891760641
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
AP60619678 Issued in WA
Practice address
1101 Madison St
Ste 700
Seattle, WA 98104-3599
Phone
(206) 215-6300
Fax
(206) 215-6301
NPI assigned
Feb 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60615437 WA
Obstetrics & Gynecology Nurse Practitioner 363LX0001X AP60619678 WA Primary

Addresses

Primary practice location

1101 Madison St
Ste 700
Seattle, WA 98104-3599

Mailing address

PO Box 25608
Salt Lake City, UT 84125-0608
Phone (206) 320-4476

Other practice location 1

1101 Madison St Ste 1500
Seattle, WA 98104-3551
Phone (206) 991-2000

Other identifiers 1

IdentifierTypeStateIssuer
1891760641MedicaidWA

Other names 1

  • Marie L Grisez Former name

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address mholt1428737@wm.providencedirect.org Direct
Direct Messaging Address mholt1428737@wm.providencedirect.org Direct
Direct Messaging Address mholt1428737@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160616001714 WA Practitioner - Nurse Practitioner 4082675558 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Swedish Health ServicesGroup PAC ID 0244138196, 1,038 clinicians

Practice addresses (Care Compare)

1101 Madison St
Suite 700
Seattle, WA 98104-3599
Phone (206) 215-6300

Hospital & facility affiliations

  • Swedish Medical Center Hospital, Seattle, WA, CCN 500027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP60619678WAMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Mason Medical Center Current Accepting new patients
Swedish Health Services CurrentSince Dec 28, 2020 Accepting new patients
Virginia Mason Medical Center CurrentSince Jul 14, 2016 Accepting new patients
Virginia Mason Medical Center CurrentSince Jul 14, 2016 Accepting new patients
Owensville Primary Care,Inc Past Accepting new patients
Swedish Health Services Past Accepting new patients
Orthopaedic and Sports Medicine Center LLC Past Accepting new patients
Owensville Primary Care, Inc Past Accepting new patients
Orthopaedic and Sports Medicine Center LLC Past Accepting new patients

Locations

380 Winslow Way E
Bainbridge Island, WA 98110
Phone (206) 842-5632

7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

1100 9th Ave
Seattle, WA 98101
Phone (206) 223-6980

600 Broadway
Ste 300
Seattle, WA 98122
Phone (206) 215-9071

1100 9th Ave
#8
Seattle, WA 98101
Phone (206) 223-6762

1101 Madison St
Ste 1500
Seattle, WA 98104
Phone (206) 215-3200

4575 Sand Point Way NE
Ste 108
Seattle, WA 98105
Phone (206) 525-8000

800 5th Ave
Ste 600
Seattle, WA 98104

925 Seneca St
Seattle, WA 98101
Phone (206) 341-0860

1100 9th Ave
#4
Seattle, WA 98101
Phone (206) 515-5811

1101 Madison St
Ste 700
Seattle, WA 98104
Phone (206) 215-6300

Interoperability endpoints

  • Direct secure messaging: mholt1428737@wm.providencedirect.org

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1891760641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25608",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841250608",
            "telephone_number": "206-320-4476",
            "fax_number": "206-568-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MADISON ST",
            "address_2": "STE 700",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043599",
            "telephone_number": "206-215-6300",
            "fax_number": "206-215-6301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Madison St Ste 1500",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981043551",
            "country_code": "US",
            "telephone_number": "206-991-2000",
            "fax_number": "206-991-2005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLT",
        "first_name": "MARIE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60615437",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "WA",
            "license": "AP60619678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891760641",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mholt1428737@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1101 Madison St Ste 1500",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981043551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mholt1428737@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1101 Madison St",
            "address_2": "Ste 700",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981043599",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mholt1428737@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1101 Madison St Ste 1500",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981043551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "GRISEZ",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.