CHRISTINA HOLLIST
NPI 1831715309
Social Worker in Ammon, ID

Active since June 22, 2020PECOS Enrolled
2705 E 17TH ST, AMMON, ID 83406(208) 346-7500 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 27, 2023, Jun 22, 2020 (2 updates tracked since 2020).

About Christina Hollist NPPES

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

CHRISTINA HOLLIST (NPI 1831715309) is an individual social worker in Ammon, Idaho, licensed in Idaho (LMSW-40033) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1831715309
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameCHRISTINA HOLLIST
Location Address2705 E 17TH STAmmon, ID 83406-6601
Mailing Address449 N 2500 ESaint Anthony, ID 83445-5740
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 22, 2020
Last NPPES UpdateJuly 27, 20232 updates tracked since enumeration
NPPES CertifiedJuly 27, 2023
NPI 1831715309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License Licensed in ID · LMSW-40033
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedBehavior TechnicianTaxonomy 106S00000X
2705 E 17TH ST, Ammon, ID 83406

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Christina Hollist is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385156884
PECOS Enrollment IDI20250620002775
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.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Psychiatric/Mental Health)
2705 E 17TH ST
AMMON, ID 83406
Counselor (Mental Health)
2705 E 17TH ST
AMMON, ID 83406
Peer Specialist
2705 E 17TH ST
AMMON, ID 83406
Counselor (Professional)
2705 E 17TH ST
AMMON, ID 83406
Social Worker
2705 E 17TH ST
AMMON, ID 83406
Counselor (Mental Health)
2705 E 17TH ST
AMMON, ID 83406
Counselor (Professional)
2705 E 17TH ST
AMMON, ID 83406
Social Worker
2705 E 17TH ST
AMMON, ID 83406

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 Christina Hollist's NPI number?

The NPI number for Christina Hollist is 1831715309. It was assigned to this individual provider in the NPPES registry on June 22, 2020.

Where is Christina Hollist located?

Christina Hollist practices at 2705 E 17th St, Ammon, ID 83406. The listed phone number is (208) 346-7500.

What is Christina Hollist's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Christina Hollist enrolled in Medicare?

Yes. Christina Hollist is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Christina Hollist was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.