Stan Holguin

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

508 Upland St
Kenai, AK 99611-8026

Phone

(907) 252-0780

Fax

(888) 491-3243

NPI assigned

Jan 27, 2021

Sex

Male

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)

Not enrolled

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1902497530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 SOHI LN APT 2",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697360",
            "telephone_number": "907-252-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 UPLAND ST",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996118026",
            "telephone_number": "907-252-0780",
            "fax_number": "888-491-3243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLGUIN",
        "first_name": "STAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kassandra Hendricks, RDH
• Jacob William Hill
• Kathryn Hinson
• Rebecca Hitchcock, DPT
• Nhon X Hoang
• Glenna Caroline Holtby
• Gary Joseph Hondel, LPC
• Andrea Therese Hooper, RN-MSN
• Rylee Joyce Paige Howell
• Kenneth Hoyt

• Peer Specialist in Kenai, AK
• Providers in Kenai, AK by specialty
• Peer Specialist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.