Iris Lea Holback, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11010868 Issued in FL

Practice address

3240 S Florida Ave Ste 105
Lakeland, FL 33803-4574

Phone

(863) 646-4000

NPI assigned

Dec 30, 2020

Sex

Female

Sole proprietor

No

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 FL

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 and National Provider Directory roles.

• Trinity Medical Physicians, LLC

  • Family Medicine Physician
  • Lakeland, FL
  • NPI 1225652878
  Medicare reassignment NPD
• Orlando Family Physicians, LLC

  • General Practice Physician
  • Orlando, FL
  • NPI 1568563187
  NPD (past)
• Premier Heart and Vascular Center, PA

  • Cardiovascular Disease Physician
  • Zephyrhills, FL
  • NPI 1417060229
  NPD (past)

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

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1992392492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W COLONIAL DR STE 303",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046863",
            "telephone_number": "213-326-9473",
            "fax_number": "407-286-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 S FLORIDA AVE STE 105",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034574",
            "telephone_number": "863-646-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLBACK",
        "first_name": "IRIS",
        "middle_name": "LEA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-30",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11010868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marca Hobbs
• Carole Hocking, C.R.N.A.
• G Byron Hodge Jr., M.D.
• Pamela S Hodges, M.D.
• Anissa Hohnstreiter, APRN
• Ashley S Holden
• Holiday CVS LLC
• Holiday CVS LLC
• Holiday CVS LLC
• Holiday CVS LLC

• Family Nurse Practitioner in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; 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.