Austyn Desean Hollingshed

Primary specialty

Adult CompanionTaxonomy code 372600000X

Practice address

485 Hustler St
Gwinn, MI 49841-2902

Phone

(906) 251-1596

NPI assigned

Jan 2, 2019

Sex

Male

Sole proprietor

No

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, last updated by the provider on Jan 2, 2019.

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1912470907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 HUSTLER ST",
            "city": "GWINN",
            "state": "MI",
            "postal_code": "498412902",
            "telephone_number": "906-251-1596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 HUSTLER ST",
            "city": "GWINN",
            "state": "MI",
            "postal_code": "498412902",
            "telephone_number": "906-251-1596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLINGSHED",
        "first_name": "AUSTYN",
        "middle_name": "DESEAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-02",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "H452074139741",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPHP0022",
            "identifier": "0022819320",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gwendolyn Buck DDS PLLC
• Gwendolyn Buck DDS PLLC
• Linda Helen Hammond
• Ralph L Harmon Jr., LMSW, CAADC
• Melissa Kristine Hinkhouse, PMHNP-BC
• Ann Louise Howell
• Vicki Hyde, RPH
• Joni Rae Johnson, LMT
• Taylor Marie Knetter, LMT
• Caitlin S. Koskey, SOCIAL WORKER

• All providers in Gwinn, MI
• Adult Companion in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; 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.