Hollystic Hideaway

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

HOLLYSTIC HIDEAWAY

Practice address

1418 W Sunset Blvd. # 2
Saint George, UT 84770

Phone

(435) 767-7976

NPI assigned

Apr 21, 2016

Last updated

Apr 21, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Holly Ann Vernon

Title

Owner

Phone

(949) 228-3694

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461196800000",
    "number": "1952755480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1396 N 2100 W",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "84770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 W SUNSET BLVD. # 2",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "84770",
            "telephone_number": "435-767-7976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLYSTIC HIDEAWAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-21",
        "last_updated": "2016-04-21",
        "status": "A",
        "authorized_official_last_name": "VERNON",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-228-3694",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Stuart Holland
• Bryson J Hollingshead, DO
• Carolyn Hollingshead, LCSW
• David Scott Hollingshead, APRN
• Porter Hollngshead
• Kaira Faye Holm, LMT
• Bret J Holman, D.D.S.
• Nathan Lance Holman
• Nathan Laurel Holman, M.D.
• Alyssa Holmes

• Voluntary or Charitable Agency in St George, UT
• Providers in St George, UT by specialty
• Voluntary or Charitable Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; 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.