Jeanette M Holladay, APRN-FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5138434-4405 Issued in UT

Practice address

184 N Eden Brook Way
Saratoga Springs, UT 84045-5202

Phone

(385) 307-9977

Fax

(801) 609-3349

NPI assigned

Sep 21, 2020

Last updated

Nov 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in UT

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wounds Plus LLC

  • Nurse Practitioner
  • Eagle MTN, UT
  • NPI 1285599613
  Medicare reassignment
• Hozho Wellness PLLC

  • Family Nurse Practitioner
  • Saratoga Springs, UT
  • NPI 1285357368
  Authorized official Same address or phone
• Yarrow Hospice, Inc.

  • Community Based Hospice Care Agency
  • Provo, UT
  • NPI 1346657954
  NPD
• Freedom Integrated Medicine LLC

  • Health Service Clinic/Center
  • South Jordan, UT
  • NPI 1447911441
  NPD (past)

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1932715380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 N EDEN BROOK WAY",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840455202",
            "telephone_number": "385-307-9977",
            "fax_number": "801-609-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 N EDEN BROOK WAY",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840455202",
            "telephone_number": "385-307-9977",
            "fax_number": "801-609-3349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLADAY",
        "first_name": "JEANETTE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "APRN-FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-21",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "5138434-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Hicken
• Jarom Hickenlooper
• Kaitlyn Marie Hill, MD
• James Hinton
• Heaven Leigh Holdaway
• Abbie Holland
• Megan Hoopes
• Hopebridge Residential Care LLC
• Aidan Hopkins
• Kira Howard

• Family Nurse Practitioner in Saratoga Springs, UT
• Providers in Saratoga Springs, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.