1. Home
  2. Directory
  3. Utah
  4. Stansbury Park
  5. Pediatrics
  6. NPI Profile

AMANDA HOLMAN DO
NPI 1669978623
Pediatrics in Stansbury Park, UT

Active since March 30, 2018PECOS Enrolled
220 MILLPOND STE 100, STANSBURY PARK, UT 84074(435) 843-3000 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 4, 2025, Nov 15, 2021, Apr 27, 2021 and 1 more (4 updates tracked since 2018).

About Amanda Holman Do NPPES

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

AMANDA HOLMAN DO (NPI 1669978623) is an individual pediatrics provider in Stansbury Park, Utah, licensed in Alabama (DO.2126) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669978623
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameAMANDA HOLMANCredential: DO
Location Address220 MILLPOND STE 100Stansbury Park, UT 84074-9760
Mailing Address220 Millpond Ste 100Stansbury Pk, UT 84074-9760 · (435) 843-3000
Phone(435) 843-3000
Sole ProprietorNo
Enumeration DateMarch 30, 2018
Last NPPES UpdateJune 4, 20254 updates tracked since enumeration
NPPES CertifiedJune 4, 2025
✔ NPI 1669978623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in AL · DO.2126
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
220 MILLPOND STE 100, Stansbury Park, UT 84074
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Holman Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84074 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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 9

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

ADAM WEBSTER PHARMD
Pharmacist
220 MILLPOND STE 100
STANSBURY PARK, UT 84074
Tooele County (435) 843-3050
MRS. JENNY REBECCA LEFFLER LCSW
Social Worker (Clinical)
220 MILLPOND STE 100
STANSBURY PARK, UT 84074
Tooele County (435) 843-3096
MICHAEL WILD MD
Family Medicine
220 MILLPOND STE 100
STANSBURY PARK, UT 84074
Tooele County (435) 843-3000
MS. FEI YUE ZHANG RPH
Pharmacist
220 MILLPOND STE 100
STANSBURY PARK, UT 84074
Tooele County (435) 843-3052
AMBER MARGOLIS LCSW
Social Worker (Clinical)
220 MILLPOND STE 100
STANSBURY PARK, UT 84074
Tooele County (435) 843-3026
UNIVERSITY OF UTAH COMMUNITY PHYSICIANS GROUP
Family Medicine
220 MILLPOND STE 100
STANSBURY PK, UT 84074
Tooele County (435) 843-3000
MS. MARIANNE MABEY PHARMD
Pharmacist
220 MILLPOND STE 100
STANSBURY PARK, UT 84074
Tooele County (435) 843-3052
DEBRA SHINKLE MD
Family Medicine
220 MILLPOND STE 100
STANSBURY PK, UT 84074
Tooele County (435) 843-3000

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 Amanda Holman's NPI number?

The NPI number for Amanda Holman is 1669978623. It was assigned to this individual provider in the NPPES registry on March 30, 2018.

Where is Amanda Holman located?

Amanda Holman practices at 220 Millpond Ste 100, Stansbury Park, UT 84074. The listed phone number is (435) 843-3000.

What is Amanda Holman's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Amanda Holman enrolled in Medicare?

Yes. Amanda Holman is registered in the Medicare PECOS enrollment system.

What insurance does Amanda Holman accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Amanda Holman 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 Amanda Holman was last updated on June 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.