Individual provider Active NPI

Marcia Ann Hollett, DC

  • Chiropractor
  • North Fort Myers, FL
National Provider Identifier
1972597722
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 0005490 Issued in FL
Practice address
3313 Golda Cir
North Fort Myers, FL 33917-7153
Phone
(239) 233-9898
Fax
(888) 921-2667
NPI assigned
Sep 8, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 0005490 FL Primary

Addresses

Primary practice location

3313 Golda Cir
North Fort Myers, FL 33917-7153

Mailing address

3089 NW 4TH Ave
Cape Coral, FL 33993-6722
Phone (954) 579-0180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 0005490FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305763200000",
    "number": "1972597722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3089 NW 4TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339936722",
            "telephone_number": "954-579-0180",
            "fax_number": "888-921-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3313 GOLDA CIR",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339177153",
            "telephone_number": "239-233-9898",
            "fax_number": "888-921-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLETT",
        "first_name": "MARCIA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-08",
        "last_updated": "2011-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 0005490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; 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.