Active NPI
Holly Tomlin, MSN, RN, CPNP
- Pediatric Nurse Practitioner
- Dallas, TX
National Provider Identifier
1982925848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 696556
- Practice address
- 7777 Forest LN
Suite C-855
Dallas, TX 75230-2571 - Phone
- (972) 331-9700
- Fax
- (972) 331-9833
- NPI assigned
- Jun 15, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 696556 | TX | Primary |
Addresses
Primary practice location
7777 Forest LN
Suite C-855
Dallas, TX 75230-2571
Mailing address
7777 Forest LN
Suite C-855
Dallas, TX 75230-2571
Phone (972) 331-9700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The University of Texas Southwestern Medical Center at Dallas | Past | Accepting new patients | |
| Complex Care Medical Services Corporation | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Dallas, TX
- NPI 1194153650
-
- Pediatrics Physician
- Dallas, TX
- NPI 1013256098
-
- Clinical Medical Laboratory
- Dallas, TX
- NPI 1396832713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333929600000",
"number": "1982925848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7777 FOREST LN",
"address_2": "SUITE C-855",
"city": "DALLAS",
"state": "TX",
"postal_code": "752302571",
"telephone_number": "972-331-9700",
"fax_number": "972-331-9833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7777 FOREST LN",
"address_2": "SUITE C-855",
"city": "DALLAS",
"state": "TX",
"postal_code": "752302571",
"telephone_number": "972-331-9700",
"fax_number": "972-331-9833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMLIN",
"first_name": "HOLLY",
"credential": "MSN, RN, CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-15",
"last_updated": "2012-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "696556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; 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.