MS. ANN MARIE HOLMQUIST COTA, NPI 1619165776 — PHOENIX (AZ)

NPI 1619165776

12+ Years Experience Individual

MS. ANN MARIE HOLMQUIST COTA

10/13/2007
PROVIDER ENUMERATION DATE
10/13/2007
LAST UPDATE DATE
1619165776
NPI NUMBER

About MS. ANN MARIE HOLMQUIST

Sole proprietor? Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor.

MS. ANN MARIE HOLMQUIST is a provider established in PHOENIX, AZ. The NPI number of MS. ANN MARIE HOLMQUIST is 1619165776 and was assigned on 10/13/2007. The practitioners primary taxonomy code is: 247200000X with license number: 788-027 WI .

Mailing address

  • City: MENOMINEE
  • State: MI
  • Postal code: 498581666
  • Phone: 7155878807
  • Address: 3400 10TH ST LOT 79

Primary Practice Address

  • Region : PHOENIX, AZ
  • NPI : 1619165776
  • Phone : 8888734221
  • Postalcode : 850217967
  • Address : 7540 N 19TH AVE STE 200

Provider taxonomy - Technician, Other

  • Taxonomy code: 247200000X
  • License number: 788-027
  • License state: WI

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy description: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

Contacts:

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  • MS. ANN MARIE HOLMQUIST COTA
  • Address : 7540 N 19TH AVE STE 200
  • Region : PHOENIX, AZ
  • NPI : 1619165776
  • Phone : 8888734221
  • Postalcode : 850217967

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address7540 N 19TH AVE STE 200
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NamePHOENIX
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameAZ
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code850217967
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number8888734221
The telephone number associated with the location address of the provider being identified.
NPI1619165776
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1247200000X
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
Provider Enumeration Date10/13/2007
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated10/13/2007
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)MS. ANN MARIE HOLMQUIST
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address3400 10TH ST LOT 79
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameMENOMINEE
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameMI
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code498581666
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number7155878807
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Healthcare Provider Taxonomy Code #1247200000X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Technician, Other
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
Provider License Number 1788-027
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1WI
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Provider Gender CodeF
  • M - male
  • F - female
Is sole proprietorY
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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