MRS. HEATHER BROOM HOLDINESS (NPI# 1053744391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053744391 |
| Entity Type | Individual |
| Full Name | MRS. HEATHER BROOM HOLDINESS |
| Credential | APRN |
| Practice Address |
903 Desoto Blvd Hot Springs Village AR 71909-6100 |
| Mailing Address |
8333 N Davis Hwy Pensacola FL 32514-6050 |
| Practice Telephone | 5019226266 |
| Practice Fax Number | 5019228122 |
| Mailing Telephone | 8504748385 |
| Mailing Fax Number | 8509692904 |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2020-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
A004582 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
A004582 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
A004582 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 06336908 | 05 | |
| AR | 212780758 | 05 |
| Street Address |
903 DESOTO BLVD |
| City | HOT SPRINGS VILLAGE |
| State | AR |
| Zip Code | 71909-6100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871598037 | Sarah Lynn Sullivan | Family Medicine | 903 Desoto Blvd, Hot Springs Village, AR 71909-6100 | 2005-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588277941 | Marlee Logan Buchanan | Pharmacist | 4634 N Ar 7, Hot Springs Village, AR 71909 | 2020-08-26 |
| 1245726843 | American Oncology Partners, P.a. | Internal Medicine | 101 Plaza Carmona Pl Ste C, Hot Springs Village, AR 71909 | 2018-07-06 |
| 1942795141 | Loah Community Development Center | Clinic/Center | 110 Ponderosa Ln, Suite C, Hot Springs Village, AR 71909 | 2018-06-29 |
| 1336380807 | Greg Pineau Do Pa | Family Medicine | 112 Cordoba Center, Hot Springs Village, AR 71909 | 2009-03-13 |
| 1982840096 | Martha Davenport Mayland | Physical Therapist | 140 Cordoba Ctr Drive, Hot Springs Village, AR 71909 | 2008-12-18 |
| 1073735221 | Mason Family Dentistry | Dentist | 4585 N Highway 7 Ste 13, Hot Springs Village, AR 71909 | 2007-05-03 |
| 1497976427 | Larry Don Powell | Dentist | 110 Este Way, Suite A, Hot Springs Village, AR 71909 | 2007-05-01 |
| 1073734000 | John Michael Matthews | Dentist | 110 Estel Way, Suite A, Hot Springs Village, AR 71909 | 2007-05-01 |
| 1336234343 | Malinda L Smith | Physical Therapist | 140 Cordoba Ctr Dr, Physical Therapy Plus, Hot Springs Village, AR 71909 | 2006-10-04 |
| 1013958149 | John Conley Mason | Dentist | 4585 N Highway 7, Suite 13, Hot Springs Village, AR 71909 | 2006-06-09 |
| Find all providers in zip 71909 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122121 | John Mychal Thompson | Nurse Practitioner | 1411 Terrace, Magnolia, AR 71753-2040 | 2020-10-21 |
| 1619581873 | Tammy M Palermo | Nurse Practitioner | 210 County Road 1071, Eureka Springs, AR 72632-9480 | 2020-09-04 |
| 1134733611 | Heather Suzanne Brown | Nurse Practitioner | 856 Silverpeak Rd, Sherwood, AR 72120-2366 | 2020-09-02 |
| 1891307054 | Jyrissa Robinson | Nurse Practitioner | 1209 Hideaway Cv, Bryant, AR 72022-5007 | 2020-08-19 |
| 1598308140 | Elizabeth Ann Charles | Nurse Practitioner | 7001 Rogers Ave Fl 6, Fort Smith, AR 72903-4073 | 2019-10-25 |
| 1548802309 | Jazzmon Nicole Trice | Nurse Practitioner | 8400 Highway 386 East, Wrightsville, AR 72183 | 2019-10-14 |
| 1902457955 | Debbie Diane Laws | Nurse Practitioner | 2415 N Tyler St, Little Rock, AR 72207-3740 | 2019-09-21 |
| 1104473214 | Rebecca Lopez | Nurse Practitioner | 3305 S 2nd Pl, Rogers, AR 72758-1427 | 2019-08-22 |
| 1457814501 | Charis Health and Wellness Clinic | Nurse Practitioner | 7500 Dollarway Rd Ste 403, White Hall, AR 71602-3083 | 2019-04-06 |
| 1780141531 | Lauren Kincannon | Nurse Practitioner | Baptist Health Cardiothoracic Surgery Clinic, Little Rock, AR 72205-7220 | 2019-02-28 |
| Find all providers with the same taxonomy | ||||
| City | HOT SPRINGS VILLAGE |
| Zip Code | 71909 |
Please comment or provide details below to improve the information on MRS. HEATHER BROOM HOLDINESS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.