Individual provider Active NPI

Holli Harvey, FNP-BC

  • Family Nurse Practitioner
  • Man, WV
National Provider Identifier
1003411141
Registry record updated May 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
106990 Issued in WV
Practice address
308 Huffcreek Hwy
Man, WV 25635-1042
Phone
(304) 583-1134
Fax
(800) 460-3284
NPI assigned
Dec 4, 2020
Last updated
May 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 106990 WV Primary

Addresses

Primary practice location

308 Huffcreek Hwy
Man, WV 25635-1042

Mailing address

308 Huffcreek Hwy
Man, WV 25635-1042
Phone (304) 583-1134

Other practice location 1

144 7th Ave
South Charleston, WV 25303-1452
Phone (304) 744-4081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250203000231 WV Practitioner - Nurse Practitioner 5193254340 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountaineer Family Medicine, Inc.Group PAC ID 5496858102, 6 clinicians

Practice addresses (Care Compare)

4114 1St Ave
Nitro, WV 25143-1304
Phone (304) 755-0119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
106990WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mountaineer Family Medicine, Inc. CurrentSince Aug 1, 2025 Accepting new patients
THS Physician Partners Inc Family CurrentSince Dec 1, 2024 Accepting new patients
Mountaineer Family Medicine, Inc. PastSince Jun 2, 2024 Accepting new patients

Locations

L3539
Columbus, OH 43260
Phone (304) 414-4800

5240 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 926-2300

4114 1st Ave
Nitro, WV 25143
Phone (304) 755-0110

4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746230400000",
    "number": "1003411141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 HUFFCREEK HWY",
            "city": "MAN",
            "state": "WV",
            "postal_code": "256351042",
            "telephone_number": "304-583-1134",
            "fax_number": "800-460-3284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 HUFFCREEK HWY",
            "city": "MAN",
            "state": "WV",
            "postal_code": "256351042",
            "telephone_number": "304-583-1134",
            "fax_number": "800-460-3284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "144 7th Ave",
            "address_purpose": "LOCATION",
            "city": "South Charleston",
            "state": "WV",
            "postal_code": "253031452",
            "country_code": "US",
            "telephone_number": "304-744-4081",
            "fax_number": "304-744-8606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "HOLLI",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-04",
        "last_updated": "2025-05-03",
        "certification_date": "2025-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "106990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Man, WV

Sources for this page

Verify at the official NPI Registry.