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HALEY HOLBORN
NPI 1023973690
Dietitian, Registered in Auburn, WA

Active since December 17, 2025Accepts Medicare Assignment
1620 LAKE TAPPS PKWY SE STE 110, AUBURN, WA 98092(253) 939-7181(253) 939-7184 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Haley Holborn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HALEY HOLBORN (NPI 1023973690) is an individual dietitian, registered in Auburn, Washington, licensed in Washington (DI70075244) and active in the NPI registry since December 2025. She is a graduate of Other (2025).

NPPES Registry Identity

NPI1023973690
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameHALEY HOLBORN
Location Address1620 LAKE TAPPS PKWY SE STE 110Auburn, WA 98092-8376
Mailing Address1650 Lyndon Farm Ct Ste 300Louisville, KY 40223-5005 · (726) 202-3039 · Fax (210) 978-5592
Phone(253) 939-7181
Fax(253) 939-7184
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 17, 2025
NPPES CertifiedDecember 17, 2025
✔ NPI 1023973690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in WA · DI70075244
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
1620 LAKE TAPPS PKWY SE STE 110, Auburn, WA 98092
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Haley Holborn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850879768
PECOS Enrollment IDI20260202001773

Medicare Billing Reassignment

Medicare enrollment records show Haley Holborn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Therapy Management Services, PLLC
6.2 mi
Physical Therapist
21525 STATE ROUTE 410 E STE B
Bonney Lake, WA 98391
  • Reassigned Medicare billing, Washington enrollment
  • 168 clinicians in this Medicare group
NPI 1689224982 (253) 826-8520

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98092 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $63.67 – $189.37
Typical copayment $0.00 (range $15.91 – $47.34)
Most-billed visit code NA
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TYSON POWELL
Physical Therapist
1620 LAKE TAPPS PKWY SE STE 110
AUBURN, WA 98092
King County (253) 939-7181

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Haley Holborn's NPI number?

The NPI number for Haley Holborn is 1023973690. It was assigned to this individual provider in the NPPES registry on December 17, 2025.

Where is Haley Holborn located?

Haley Holborn practices at 1620 Lake Tapps Pkwy SE Ste 110, Auburn, WA 98092. The listed phone number is (253) 939-7181.

What is Haley Holborn's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Haley Holborn enrolled in Medicare?

Yes. Haley Holborn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Haley Holborn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Haley Holborn reassigns Medicare benefits to Therapy Management Services, PLLC (Bonney Lake, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Haley Holborn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Haley Holborn accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Haley Holborn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Haley Holborn was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.