Active NPI
Katelyn Rose Holaway, RN
- Registered Nurse
- Jacksonville, IL
National Provider Identifier
1003725565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 041482684
- Practice address
- PO Box 294
Jacksonville, IL 62651-0294 - Phone
- (217) 291-3400
- NPI assigned
- Sep 2, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041482684 | IL | Primary |
Addresses
Primary practice location
PO Box 294
Jacksonville, IL 62651-0294
Mailing address
PO Box 294
Jacksonville, IL 62651-0294
Phone (217) 291-3400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1003725565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 294",
"city": "JACKSONVILLE",
"state": "IL",
"postal_code": "626510294",
"telephone_number": "217-291-3400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 294",
"city": "JACKSONVILLE",
"state": "IL",
"postal_code": "626510294",
"telephone_number": "217-291-3400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLAWAY",
"first_name": "KATELYN",
"middle_name": "ROSE",
"name_prefix": "Miss",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-02",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041482684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.