MISTY LYNNE HOLACKA FNP
NPI 1962396481
Nurse Practitioner in Fairbanks, AK

Active since June 09, 2025
1626 30TH AVE, FAIRBANKS, AK 99701(907) 479-7701 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 8, 2025, Jun 9, 2025 (2 updates tracked since 2025).

About Misty Lynne Holacka Fnp NPPES

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

MISTY LYNNE HOLACKA FNP (NPI 1962396481) is an individual nurse practitioner in Fairbanks, Alaska, licensed in Alaska (244058) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1962396481
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMISTY LYNNE HOLACKACredential: FNP
Location Address1626 30TH AVEFairbanks, AK 99701-7466
Mailing Address1626 30th AveFairbanks, AK 99701-7466 · (907) 479-7701
Sole ProprietorNo
Enumeration DateJune 9, 2025
Last NPPES UpdateOctober 8, 20252 updates tracked since enumeration
NPPES CertifiedOctober 8, 2025
NPI 1962396481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in AK · 244058
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 146031 (AK)
1626 30TH AVE, Fairbanks, AK 99701

Other Providers at the Same Location NPPES 15

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

Nurse Practitioner (Obstetrics & Gynecology)
1626 30TH AVE
FAIRBANKS, AK 99701
Advanced Practice Midwife
1626 30TH AVE
FAIRBANKS, AK 99701
Internal Medicine
1626 30TH AVE
FAIRBANKS, AK 99701
Nurse Practitioner (Obstetrics & Gynecology)
1626 30TH AVE
FAIRBANKS, AK 99701
Specialist
1626 30TH AVE, SUITE 204
FAIRBANKS, AK 99701
Surgery
1626 30TH AVE, SUITE 201
FAIRBANKS, AK 99701
Nurse Practitioner (Obstetrics & Gynecology)
1626 30TH AVE
FAIRBANKS, AK 99701
Preferred Provider Organization
1626 30TH AVE, SUITE 204
FAIRBANKS, AK 99701

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 Misty Holacka's NPI number?

The NPI number for Misty Holacka is 1962396481. It was assigned to this individual provider in the NPPES registry on June 9, 2025.

Where is Misty Holacka located?

Misty Holacka practices at 1626 30th Ave, Fairbanks, AK 99701. The listed phone number is (907) 479-7701.

What is Misty Holacka's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Misty Holacka was last updated on October 8, 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.